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"'` _vh cil"•Run by SYLVIA '�VUNI Y PUBLIC-HEALTH SERVIC Report n5104 �-`v <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT Page it 3 <br /> �� �MMM�/f.MM!fM!fMMM..��MM.MMhfldM!!M!fMMMMMM.MM.MMMMM..M.MM..MI�MM!dMMM!fMMMhf.MMM.MMh!MM.M.h.+M.MMMMMMMnPMMMMhl.MM <br /> _'Vi,*COMPLAINT A rt_t001491 <br /> _ Program/Element ; 2548gr <br /> Taken by 0884 ELEANOR RATLIFF nate: 02l28/9a {u <br /> Assigned to : n88nlCEL Fn►.�np Rpr rF'F e 2, <br /> na : n i <br /> L t_ 28!94 <br /> Facility Name: CENTROMART 031 Fac ID: 002150 f <br /> BILL to inventoried FACILITY: <br /> LC+G'atiQn: 310 W CHARTER WAY <br /> (Must have FA.CiLITY Inn) <br /> Complainant: STOCKTON FiRE <br /> Home Phone: <br /> Address: <br /> Werk Phone: <br /> FACILITY LOCATION!Property _info _ <br /> DBA or Name: CENTROMART n31 Lac Code 01 <br /> Address: 310 W CHARTER WAY SOS Dist 001 <br /> City: STOCKTON 95206 APN n , <br /> Phone: 209-464-0074 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: CENTROMART STORES <br /> Home Phone: <br /> Address: 2150 W ALPINE AVE Work Phone: <br /> City: STOCKTON CA 95204 <br /> Nature of Complaint: <br /> - CENTROMART WAS FLUSHING THE COOLING_. TOWER AND DISPOSING THE WATER TO <br /> THE STORM DRAIN - <br /> CCuPLAINT Info - <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Sulnervisorg frit Ccouncil C- ter agllCn re non o <br /> ! Y Coun__ M-M_' . r._sp_ d_nce <br /> O-Other EH Emit P-Phone <br /> COMPLAINT STATUS: .. <br /> 01-Field Abated 02-Office Abated 03-NAT- 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 n if complaint in another PROGRAM jurisdiction, Have Complaint Record and P!E updated <br /> Forwarded to UNIT! I II III IV for Investigation <br />