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Date run: 11/22 AN i'O'AQUIN COUNTY PUBLIC HEALTHPage # 1 DENORA 01 of 01 COMPLAINT INVESTIGATION REPORT CnPY # J7MNfl lt`IMMJ JNfM�JI JlV11J JJ~fP9NJ&VVfMMNfNJNJ1'1 lt`Yi'!hU`l thJNJhJNlI MMNfP�t`1>dJ llvJM�`7g JNaltm/lE 1 of mf e nJt MNJ2531 �1MI7J'?P'fMlvfl'fMMNJ ? COMPLAINT # = C0013316 Iaken by : 0988 FOLEY Date; 11!22/99 Assigned to OPIKPEDRAI Date: 11/16/99 4Vd copy Printed: Fac I D Facility Name: BILL to inventoried FACILITY: Location= 3. Q.1..... CARTER.....W.... (Must have FACILITY I00) Complainant: C_I_TY....OF_...STOCKTON........�_�E..................._._................_................. _... _Home Phone. Work Phone: I Address: ..................._.-..................... ..........__......._ FACILITY LOCATION/Property Info — Loc Code = DBA or Name= Address- _...................................._-........ City: Phone : BILLING RESPONSIBLE PARTY or OWNER Info — Have Phone : Name: ..._..................._........_..........._..................._.....................__ _....... ...... Work P one Address : ........................................._....................._............. ...... city . Nature of Complaint: KENT MILLER WANTED ENV HEALTH TO INSPECT FOR HAZ WASTE DISCHARGE . COMPLAINT Info COMPLAINT MODE: ........ A-Agency Referral B-8D OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence 0-Other EH Unit P-Phone COMPLAINT STATUS: V. .... 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated 06-Transfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness Send Referral Letter to: Address Referral Letter Sent by: _ Date. _—_ Circle appropriate Unit 4 if complaint in an er PROGRAM jurisdiction, Have Complaint Record and P/E updated Forwarded to UNIT: I II III IV for Investigation