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Date run: 05/21/97 SAN �AQUIN COUNTY PUBLIC HEALTI, -ERVIC Report 15104 <br /> Run by : KAREN/( Page # 14 <br /> Copy # : 01 0 t COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0008279 Program/Element : 2225 <br /> Talen by : 3973 ROBERT MCCLELLON Date: 05/21/9T Assigned to 3973 ROBERT MCCLELLON Date: 05/21/97 <br /> lard copy Printed: <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 3400 S . HWY 99 FRONTAGE RD. (Must have FACILITY IDI) <br /> Complainant : RICHARD STIFFLER Home Phone : 209-937-8740 <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info – <br /> DBA or Name: _— Loc Code : <br /> Address : ROS Dist : <br /> City: _ 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 /> Chrome plating is being performed at the referenced site. <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: 01 <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> RE-Trans remise Pile 07-tefer 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 1 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II ',IAl IV for Investigation <br />