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'Date run: 04/17/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by ' MARYO c6V Page # 3 <br /> Copy # : 01 of Oi COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0005912 Program/Element : 2547 <br /> Taken by : 0418 MICHAEL KITH Date: 04/17/96 Assigned to : 0418 MICHAEL KITH Oats: 04/17/96 <br /> Hard copy Printed: <br /> Facility Name : Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 854.1_,_KELLY._._OR„.„,-...........-_STOCKTON (Must have FACILITY IDp) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code <br /> : <br /> --_....._._......----...._-._._..-.._.._-...._..------------------------ ----------- <br /> Address: 8541,_KELLY_DR _ Dist <br /> : <br /> City: STOCKTON_ APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: COLONIAL DIST --I,N_VESTMENTHome Phone: 209-476-0425 <br /> Address : 8107 -KELLY_,-DR _- - -_,_.,..Work Phone : <br /> City: 11,.... <br /> Nature of Complaint: <br /> DRUG LAB . CHEMICALS WERE DUMPED ON BACKYARD . MK RESPONDED . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: '41.1 <br /> 01-Field Abated 02-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 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II 0IV for Investigation <br />