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Report <br /> Date run: 12/19/9/ SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Page#X04 1 <br /> Run b CAROLINE/GI)' <br /> 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C00030b5 Program/Element 4200 <br /> = - <br /> 1. <br /> Ta4n by : 0370 WILLIAM MARCHESE Date: 12/19/94 Assigned to : 0370 WILLIAM MARCHESE Oate: 12/19/94 <br /> Hard copy Printed: <br /> Facility Name Fac ID= <br /> BILL to inventoried FACILITY: <br /> Location: 1„1.2,� ANNABEI�LE=,„__L,AN <br /> (Must have FACILITY 100) <br /> Complainant: LEE_ ziANT......._ ...................-.._....._..........._._..........-...._......... <br /> ........... Home Phone: 209-464-7370 <br /> Address : Work Phone- <br /> ... <br /> ha ne= <br /> FACILITY LOCATION/Property Info — *. <br /> 99„ <br /> DBA or Name= Loc Code <br /> _._BGS Dist � .........._ <br /> Address 1,121 „AN_NABE�L t._AN ................. .... ......._ . <br /> .... APN # = <br /> City : 5TOCK.TCIN, 95205 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info Home Phone. 209-- 477-2233 <br /> Name : MARGEw HE•_LLWIG .... .............. ..... <br /> ... <br /> Address: 7'2.1..- W_00DSIb1=_ DR ..... _,..,Wor ; Phone <br /> City : STOCK_T_ON CA, <br /> Nature of Complaint: <br /> SEPTIC STILL FAILING RAW SEWAGE_ ON GROUND — <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 Enit P-Phone <br /> COMPLAINT STATUS: <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to premise File 07-Refer to Other Agency 08-Not Valid 09-foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />