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CO0003023
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0003023
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Last modified
11/19/2024 10:20:59 AM
Creation date
2/7/2019 12:52:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0003023
PE
4200
FACILITY_ID
FA0003221
FACILITY_NAME
JACK'S PLACE
STREET_NUMBER
7939
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
ENTERED_DATE
12/8/1994 12:00:00 AM
SITE_LOCATION
7939 W 11TH ST
RECEIVED_DATE
12/8/1994 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\7939\CO0003023.PDF
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EHD - Public
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Date run: 12/08/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC <br /> Run by : CAROLINE Report 15104 <br /> copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT Page # 1 <br /> COMPLAINT # 00003023 <br /> Taken by : 6916 CARL BORGYAN Date: 12/08/91 Assigned <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : JACK ' S PLACE <br /> Address : 7939 W 11TH Loc Code : 03 <br /> City: TRACY 95375 BOS Dist : 005 <br /> Phone : 209-832-3399 APN # <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- <br /> Name: LOUIE DARRIGO <br /> Address : P-0-BOX 1024 Home Phone : <br /> Work Phone : 40$-888-0949 <br /> City: APTOS- CA 95001 <br /> Nature of Complaint:_ <br /> PUMPING OUT SEWAGE BEHIND RESTAURANT INTO PARKING LOT.CIMPLNT STATES HE <br /> HAS REGISTERED SEVERAL COMPLAINTS ON THIS BEFORE. NOTIFIED AL OLSEN , <br /> P.M. ON THIS . SENT OUT HECTOR CASTRO TO INVESTIGATE AS COMPLAINTANT STATE <br /> SEPTIC TANK IS BEING PUMPED OUT NOW/*JACK MAH LISTED AS OWNER IN FAC. FILE <br /> COMPLAINT Info — <br /> COA?LA1NT MODE: P PHONE <br /> A-Agency Referral B-BD OF SupervisorslCity Ccouncil C-Counter M-hail/Correspondence <br /> O-Olber FB Unit P-Phone <br /> COMPLAINT STATUS: y <br /> 01-Field Abated 02-Office Abated 03-NAI 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 I if co'splaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 111 IV for Investigation <br />
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