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Date ,run= 10/28/96 SAN JOAQUTN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by KAREN166 Page # 35 <br /> Ccapy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # COOO7136 ngrarW ement = 2532 <br /> Taken by : 9903 DOUG VILSON Date: 10/28/96 Assigned to : 3973 08(RT NCCLELLON Date: 10/28/96 <br /> Hard copy Printed:. <br /> Faci,li.ty''Name Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 1,845.. E.._ CHARTER .WAY ( lust have FACILITY ID#) <br /> Cowl ai.nant: q_»kw...»:5:.»...._........_..__.:::.:....:::............_.........._.:...__: Home Phone : <br /> .... _ ........._.........._............_....................._..._.._...... <br /> Address Work Phone : <br /> FACILITY LOCATION/Property Info -- <br /> DSAor Name; _ :..._....._..._............................................................................................._Loc Code ; <br /> Address : _...te ..... <br /> -....... BOS Dist <br /> . <br /> City: APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone: <br /> Address: Work Phone : <br /> city: ...... ............ <br /> Nature of Coaplaint: <br /> ILLEAGAL STORAGE OF HAZARDOUS WASTE . <br /> COMPLAINT Info -- <br /> `COMPLAINT NODE: A AGENCY REFERRAL <br /> A-Agency Referral E-BD OF Supervisors/City Ccouncil C-Counter M-Nai.l/.Correspondence <br /> O-other EH Unit P-Phone <br /> COMPLAINT.STATUS: Off. <br /> 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle epprepT4'Jte Unitl if Complaint in another PROGRAM jurisdiction, have Complaint Record and PIE updated <br /> Forwarded to UNIT: I II fI IV for Investigation <br />