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Date run: 06/13/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC. Report 05104 <br /> Run by : CAROLINE Page q 17 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT 0 C0002041 Program/Element 4000 <br /> Taken by 2115 CAROLINE HASCIMENTO Date: 06/13/94 Assigned to : 0740 BRUCE ASKANAS Date: 0 /13/94 <br /> Facility Name: Fac ID: <br /> V6�7��sRd <br /> SILL to inventoried FACILITY: <br /> Location: SKS CHICKEN RANCH 17•�4 Wi, 14664-19201 (Must have FACILITY ID9) <br /> <br /> <br /> FACILITY LOGATION/Property Info <br /> DBA or Name Loc Code 99 T1 <br /> Address BOB Dist 003 <br /> City: a APH G : <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: Home Phone: <br /> r° Address: Work Phone: <br /> City: <br /> Nature'nf Complaint: 4 <br /> FLIES-EXCESSIVE -"SEEM TO BREEDING UNUSUALLY FAST" <br /> F <br /> COMPLAINT Info <br /> ~ COMPLAINT MODE. .,P PHONE <br />[ ' A-Agency Referral' ;B-BD OF"Supervisors/City Ccouncil C-Counter M-Mail/Correspondence, <br /> 0-other EH Unit P-Phone <br /> COMPLAINT 1STATUS.. .' <br /> 01-Field-Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACTI <br /> � - vitiated <br /> 06-Transfer,,to Premis.e'File .07-Refer to Other Agency OB-Nat Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if'complaintiin another PROGRAM jurisdiction,' Have Complaint.`Record and P/E updated <br /> Forwarded'to:UNIT: I. II, III IV for Investigation <br />