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CO0003024
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0003024
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Last modified
11/19/2024 10:20:59 AM
Creation date
2/7/2019 12:52:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0003024
PE
4200
FACILITY_ID
FA0003221
FACILITY_NAME
JACKS 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
99
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\7939\CO0003024.PDF
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EHD - Public
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Date run: 12/08/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> —Run by : CAROLINE Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0003024 Program/Element 4200 <br /> Taken by : 2115 CAROLINE NASCIMENTO Date: 12/08/94 Assigned to ; Date: 12/08/94 <br /> Hard copy Printed: <br /> Facility Name: JACKS PLACE Fac ID: 003221 <br /> BILL to inventoried FACILITY: <br /> Location: 7939 W 11TH ST (}dust have FACILITY IDd) <br /> Complainant : <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : JACKS PLACE _Loc Code : 03 <br /> Address : 7939 W 11TH BOS Dist : 005 <br /> City: ' TRACY 95376 APN # <br /> Phone : 209-832-3399 <br /> B`lLLING RESPONSIBLE PARTY or OWNER Info - <br /> Naive: LOUIE DARRIGO Home Phone : <br /> Address : P.O. BOX 1024 Work Phone: 408--688-0949 <br /> City: APTOS CA 95001 <br /> Nature of Complaint: <br /> PUMPED SEPTIC OUT ONTO PARKING LOT AFTER. INSPECTOR LEFT PREMISE TODAY . <br /> (PH.MESSAGE ON THIS CMPLNT CAME IN @ 1 : 52PM) <br /> COMPLAINT Info — <br /> COMPLAINT MODE, P PHONE <br /> A-Agency Referral B-81) OF Supervisors/City Ccouncil C-Counter ld-Nail/Correspondence <br /> O-Other Ell unit P-Phone <br /> COMPLAINT STATUS: <br /> ,&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 d it complaint 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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