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.)ate run : 11117/Q8 SAN iOA�IUIN COUNTY PUBLIC HE.ALiH b�.HViC ��orrte#�u4 <br /> Run by CAROLD <br /> Copy if 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0011300 Program/Element = 2300 <br /> Taken by : 0451 SASSON Date: 11/17/98 Assigned to 0451 SASSON Date: 11117196 <br /> Hard copy Printed: <br /> Facility Name : Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 1975 W LOWE_L f Must have FACILITY 109) <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name . Loc Code <br /> Address : 1975...W .LOWEL..._ BOS Dist : <br /> City : TRACY APN # <br /> phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name' ............Home Phone: <br /> Address : Work Phone: <br /> city : <br /> Nature of CoTplaint: <br /> REPAIR OF UNDERGROUND STORAGE~ TANK WITHOUT PERMIT . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> ................. <br /> A-Agency Referral B-BD OF Supervisors/City CCOUnCil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: O..0 <br /> Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06JTransfer to Premise File 07-Refer 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 # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 11 IIT IV for investigation <br />