Laserfiche WebLink
r. <br /> Date run: IL/A 4/9'� JOAQUIN COUNTY.ZPUBCIC HEA SERVTi C Raport nS1nq <br /> Run byCopy <br /> :� 01 of `01. COMPLAINT INVESTIGATION REPORT - COWHIENTIAL <br /> COMPLAINT # C0007243 ram/1 _ . ment : 2532 <br /> Taken by : 0418 MICHAEL KITH Date: 11/14196 Assigned to 19_ 1ER.RY YOSHIOKA ate: 11/1096 <br /> Hard copy Printed: <br /> Facility Name: ..........,. -Fac ID = <br /> BILL to inventoried FACILITY: <br /> Location= 3200.._.5.... fU ..Q.9F.�0P...... T.. (Must have FACILITY IDU) <br /> 1 <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name- .............. ...... ............ <br /> Loc Code <br /> BOS t . <br /> Address: <br /> City: APN <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: . . .. . ...........Nome Phone : <br /> Address: ... Work Phone.: <br /> City ' <br /> NatureI <br /> Complaint <br /> UMPING HW IN PIT AND IN STORh4 DRAINS ON PROPERTY . COMPLAl'.NTA4�IT "S <br /> CLIENT HAS SOIL- SAMPLE RESULTS THAT INDICATES P C E CONSENTRATION <br /> i <br /> e <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P_ _PHONE <br /> A-Agency Referral B-BD OF Supervisors/City CCOUPCil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> .f COMPLAINT STATUS: .__........... <br /> O1-Field Abated 02-Office Abated 03-NAI Sent- e--04-Notico to lAb3teValid Issued <br /> -FoodborneoTce ACT Initiated <br /> 06-Transfer to Premise file 07 Refer to Other Agency <br /> ss <br /> 15 <br /> Circle appropriate unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E a^dated <br /> Forwarded to UNIT: I II II IV for Investigation <br />