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Date run: 83/18/ SAM 3OA0UIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by CAR0L� Page # 2 <br /> Copy # � 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> Taken by : 6519 DISA Date: 03/17/98 Assigned to 0008 BRIGGS Date: 03/17/98 X— C <br /> Hard copy Printed: 03/18/98 I,< I <br /> Facility Name: ILL Fac ID: 0��518 <br /> BILL to inventoried FACILITY: <br /> Location: ��9OO _HARNEY_LN (Must have FACILITY 08) <br /> Complainant : MA���_�AVENpORT Home Phone : 209-887-3868 <br /> Address- 17900 HAANEY LANE Work Phone : <br /> 9TOCKTON CA <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: NORTH COUNTY LANDFTLL Loo Code 99 <br /> Address: 17900 'HARNEY LN ' BOS Dist 004 <br /> City : LOOZ 95240 APN <br /> Phone : 209-468-3066 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : 5J COUNTY--PUBLIC_WORKS' -- Home Phone : <br /> Address: 1810 HAZELT8N AVE_ Work Phone: <br /> City : STpCKT0N CA 95205 <br /> Nature of Complaint: <br /> A MAN HAD ASBESTOS FLOOR TILES WAS VERY ANGRY WHEN LANDFILL WOULD NOT <br /> LET HIM DUMP TILES THERE ' HIS TRUCK WAS FROM 5 STAR ENTERPRISE <br /> 345 N . YOSEMITE . 462-7423 ' FACILTTY I 'D ' 005838 ' <br /> COMPLAINT Info — <br /> COMPLAINT HONE: P PHONE <br /> A'AVoocy Hwfmml B-BD OF Eapvmioo/m/City C000noi\ C'Counto, H'Mail/Con0000ndonce <br /> 0-VLkor EH Unit P'Phvoo <br /> �� <br /> COMPLAINT STATUS: �� <br /> _1 <br /> 01-Fiold Abated 02'Offino Abated 03-Nhl Soot 04-Notim to Abate loauod 05-Eofomo ACT Initiated <br /> 06'honafor to Premise Filo 07'Rofor to Otho/ A8ono, 08-Hot Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by, Dat*� <br /> Circle aypmpriato Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/[ updated <br /> Forwarded to UNIT: I ll KZ) IV for Investigation <br />