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r <br /> Date rUn: 12/11/97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : KAREC� Page # 1 <br /> Copy # : 01 o� tl1 COMPLAINT INVESTIGATION REPORT <br /> PLAINT # CO009416 Program/Element 2546 <br /> Talen by : 4606 TREVENA Date: 12/10/97 Assigned to : 0997 KNOLL Date: 12/10/97 <br /> Hard copy Printed: <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 4547 FRONTIER RD. STOCKTON (Masi have FACILITY IDI) <br /> Complainant : <br /> : <br /> FACILITY LOCATION/ProperJty Info — <br /> DBA or Name: �•C2 5/A14 -b ��/� 4 (�"'^�— Loc Code <br /> Address : BOS Dist : <br /> City: _ APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone: <br /> Address : Work Phone:(�jctt <br /> City: <br /> Nature of Complaint: <br /> THERE WAS A 300 GALLON N ff/ACID, PH=1 AT THE REFERENCED SITE. KNOLL <br /> i RESPONDED TO THE CALL. <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EB knit P-Phone <br /> COMPLAINT STATUS: Of <br /> 01 ieid Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Transfer to Premise File 07-Refer to Other Agency 09-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> ¢ "eferrai Letter Sent by: Date: <br /> Circ e!e appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forvarded to UNIT: I U i! IV for Investigation <br />