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n: 1:2 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5144 <br /> + CAROI_INF!(,�f Page # 1 <br /> 01 of OI COMPLAINT INVESTIGATION REPORT <br /> _AINT # = C0003083 ogram/Eleient 2500 <br /> by : 9903 DOUG WILSON Date: 12/21/94 Assigned to 3 R08ERT MCCLELLON ate: 12/21/94 <br /> and copy Printed: <br /> Facility Name- Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 3200. S, L.....Dv_R,ADO (Must have FACILITY ID#) <br /> Complainant: _...._................................................................._............._.........._._._.:.._...................................................._.._ Home Phone: <br /> Address, ..........................................work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name . Loc Cade - <br /> Address : BOS Dist <br /> ............... _.._._.. ................................ <br /> City: APN ,# <br /> Phone, <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name , _..._........_.......................... Home Phone : <br /> Address ...... Wnrk Rhone: <br /> City , <br /> Nature of Complaint: <br /> POSSIBLE WASTE WATER DISPOSAL _ CLEANING OUT BARRELS WHICH MAY BE A <br /> HAZARDOUS WASTE <br /> COMPLAINT Info — <br /> COMPLAINT MODE: <br /> A-Agency Referral B-BD OF Supervisors!City Ccouncil C-Counter M-Mail/Correspondence <br /> D-Other EH Emit P-phone <br /> COMPLAINT STATUS: 0�,._... <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> L03#-Transfer to premise File 07-Refer to Other Agency 06-Nat Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT. I II LIT IV for Investigation <br />