Laserfiche WebLink
{. Qate run : 10/21/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #51 4 <br /> Run by CAROLINE Pa e # 1 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # COOO2793 Program/Element 4000 <br /> Taken by : 9903 DOUG WILSON Date: 10/20/94 Assigned to 0740 BRUCE ASKANAS Date: 20/20/ 4 <br /> Facility Name: Fac ID : <br /> A1' 11 BILL to inventoried FACILITY: <br /> Location= BRANDT....._ROAD...._.� �E T....._T_O_..._GATF...). (Must have FACILITY ID#) <br /> <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code <br /> Address: BOS Dist <br /> City: APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone: <br /> ..............._..._._......._.._..._.............-......................................_............_............._......._.._..................................._..._....._..........._..... <br /> Address: Work Phone : <br /> Cit <br /> Nature of Complaint: <br /> FLY BREEDING ( POND )WAN CHANG--( CHICKEN MANURE ) **`CAL:L�CMPLNT::.-PRIOR.--TO <br /> DOING'—OUT--ON INS-P-EC:TIONc*AIM S- ='AF-TFRTNSP_E_-C;T-ION ,NOT,IF�•Y_CMFLNT OF RESULT <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 STATUS: <br /> Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob- ransfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IY for Investigation <br />