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L T <br /> Date run : 09/02/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERV IC Report #5104 <br /> Rein by_ ; CAROLINE Pane # 1� <br /> Copy # ; 01 of 01' COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0002510 Program/Element - 4200 <br /> taken by : 0794 RAJU MATNEW Date: 08/31/94 Assigned to : 0794 RAJU MATHEW Date: 08/31/94 <br /> Facility Name : — Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 30000 KASSON — 2H6 SUNSET, 2 69 MA (must have FACILITY ID#) <br /> Complainant : __Home Phone - <br /> Address: T - uWork Phone : <br /> FACILITY LOCATION/Property Info — <br /> DPA or Name: SAN JOAUUIN RIVER CLUB Loc Cade : 99 <br /> Address : <br /> APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name?* ; Home Phone : <br /> Address: _—. _ Work Phone : <br /> City - — — <br /> Nature of Complaint: <br /> GRY WATER RUNNING ON GROUND — WATER FRM BROKE WTR SOFTENER BACK WASHED <br /> IS DUMPED ON GROUND <br /> COMPLAINT Info .— <br /> COMPLAINT <br /> nfo --COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence <br /> O-Other Eli Unit P-phone <br /> COMPLAINT STATUS: 0`b <br /> 01-Field Abated OP-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 # if complaint in another PR06RAM jurisdiction; have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 111 IV for Investigation <br />