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Date i un - 09/15/9 SAN JOAQUIIV COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : CAROLD Page # 1 <br /> Copy—fl Ol of Ol COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMNU`yMMMMMMMMMMMMMMMNIMMMM1vIMMNINIMMMMMN1MMhJNIMNIr`1 <br /> COMPLAINT # : C0012960 Program/Element : 4200 <br /> Taken by : 1699 YOAKUM Date: 09/15/99 Assigned to : 1699 YOAKUM Date: 09/15/99 <br /> Hard copy Printed: <br /> Facility Name ' Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location- /a f0 BYRnN RD (Must have FACILITY IDM) <br /> Complainant : <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DRA or Name : Loc Code <br /> Address : 2430..._BYRO , RD..., E30S Dist <br /> City : TRACY APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : D9De ORM00.sDg Home Phone <br /> Address : Work Phone : X35-ys y <br /> City : <br /> Nature of complaint: <br /> SEWAGE LEAKING AGAIN _ <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> 01-Field Abated O2-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 Illnees <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent. by : Date: <br /> Circie appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I fm III IV for Investigation <br />