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Date run- 01/19/99 SAN JOAQUIN COUNTY PUBLIC HEALiHFbL � �- Page # Run by : CAROLD CaPY # : 01 of Q1 (!1,!,Y4PLAINT INVESTIGATION REPOS--) C0011546 Program/Element : 2531 COMPLAINT # = Assigned to : 0008 BRIGGS Date: 01/19/99 Taken by : 0008 BRIGGS Date: 01/15/99 Hard copy Printed: Fac ID: Facility Name: BILL to inventoried FACILITY (.Must have FACILITY ID#) Location= ......Q......4_.._IN[�-USTRI.AL�......pR. _ . .. Nome Phone:. Complainant. FACILITY LOCATION/Property Info — Loc Code DBAor Name -........__.............._..............._............__..............._............:............................_..._................._......_............................................................:........SOS Dist Address. APN # 1_Q_ .d_..... .N?_ .STR_I_AL,..__D..._._..........................................._. _....... City 5T_OCK....- Phone= BILLING RESPONSIBLE PARTY or OWNER Info — Home Phone' Name ..........:_.............__..._..............__..........._....._........._ . .. ......................_,......_................__....._.._._.. Work PhoneAddress= ..........................._.................... ...................._..._... City Mature of Complaint: SIERRA CHEMICAL IS NOT CAREF=UL WHEN HANDLING CHEMICALS . CHEMICALS ARE SPILLED WHEN UNLOADING RAIL CARS AND IN OTHER LOCATIONS . COMPLAINT Info — COMPLAINT MODE: P..,..._..__PHONE a A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter H-Mail/Correspondence O-Other EH Unit P-Phone COMPLAINT STATUS 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated 06-Transfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness Send Referral Letter to: Address: Referral Letter Sent by: Date r Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated Forwarded to UNIT: I II ( IV for Investigation s '.t