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f <br /> Date run: 07/12/94 SAN JOAQUIN COI TY PUBLIC H ALTH SERVIC Report 85104 <br /> Run by : .CAROLINE Page # 1 <br /> Copy # - 01 of 01 COMPLAINT I. ESTIGA.TI N REPORT <br /> MMMMMM.MMMMMMMMMMMMMMMMMMMMMMMMMMM M M MMMMMMMMMMMMMMMMMMMMMMMMM.MMMMMMMMM <br /> COMPLAINT # : COOO2213 Program/Element - 2547 <br /> Taken by : D988 NASEY FOLEY Cate: 01/52/94 ks_si ne .b : 988 NASEY FOLEY gate: 01/12/94 <br /> FacilityName- _ Fac ID: <br /> SILL to inventoried FACILITY: <br /> Location: 3200 E 8 MILE ROAD (Nil; <br /> t have FACILITY Igo) <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name- Loc Cade - 99 <br /> Address: BOS Dist - 004 <br /> City: _ APN # - <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Gr Home Phone: <br /> Addre ?Work Phone: <br /> City: _5�x---- S—Z. <br /> Nature of Complaint: <br /> BLACK, SMELLY SUBSTANCE DRAINING .INTO? BEAR CREEK, KILLING FISH — <br /> KASEY FOLEY RESPONDED <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral 9-99 OF Superyisors/City Ccoiincil C-Counter N-NailfCorrespondence <br /> O-Other EH Unit P-Phone <br /> C48PL4INT STATUS: �p <br /> 01-field Abated 02-Office Abated 01-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 04-Transfer to Premise File 01-Refer to Other Agency 08-Not Valid 09-Foodborne,Illness <br /> Circle appropriate Unit 9 if complaint in another PROO4N jurisdiction, Have Complaint Record and PJE updated <br /> Foruarded;to UNIT: I II IiI IV for Inyestigation <br />