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4 Z <br /> Date,-n: 01/20/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #510 <br /> Plin b_`, : KAREN Page # 1 <br /> Copy # 1 o 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0009549 Program/Element 2547 <br /> Taken by : 0997 KNOLL Date: 011P.M Assigned to : 0497 KNOLL Date: O1/20!99 <br /> 4ard copy Printed: <br /> Facility Name : Fac ID: <br /> HILL to inventoried FACILITY: r <br /> Location: UNION PACIFIC TRACKS/BARNEY LANE (Must have FACILITY [D#,) <br /> Complainant : O.E . S . Home Phone : <br /> Address : Work Phone: 209-468-3969 <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : UNION PACIFIC TRACKS Loc Code : 02 <br /> .Address : HARNEY LN BOS Dist . <br /> City: LODIAPN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Tfo <br /> Name : UNTON PACIFIC -�0+ t/� Home Phone : <br /> Address : 65,00jmnM_ 5F. ---Work Phone : 209-789-5241 <br /> City: ROIS-EV-ILLE CA 95678 <br /> Nature of Cotplaint: <br /> A TRAIN DERATLMENT AT HARNEY LANE CAUSED A PHOSPHORIC ACID, PAINT & <br /> DIESEL FUEL. SPILL. <br /> COMPLAINT Info — <br /> COMPLAINT !LODE: A AfENC,• REI'ERIAL <br /> A-Agcncy Referral 8-HD OF S'upervisarslCity Ccouncil C-Counter V-!tail!Corres000dence <br /> 0-Other Ell Unit P-Phone <br /> COMPLAINT STATUS: <br /> Co -Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Prenise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address : <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit I if conp[aint in another P10C.P.A4 jurisdir,tion, Have Complaint Record and P/S +jpdated <br /> For3arded to UNIT: 1 11 III QV for Investigation <br />