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C y J��w � ♦ l-,+l� V <br />` Date ren: 07/19/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : ROSEMARY Page # 4 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # C0000321 Program/Element : 4-46W <br /> Taken by : 0519 ROSEMARY FLORES Date: 07/19193 Assigned to Date: 07119/93 Lf � <br /> Facility Name: _ Fac ID: <br /> tq 1&7 — BILL to inventoried FACILITY: _------ <br /> Location: 14197 LOWER SACRAMENTO RD LODI (Must have FACILITY IDU <br /> Complainant : <br /> <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name : Loc Code : <br /> Address: BOS Dist : <br /> City: _ APN # <br /> Phone : <br /> OWNER Info - BILLING Party: <br /> Owner/Agent : Home Phone : <br /> Address : Work Phone :(FOg)6,&7 -3 <br /> City: _KALA J/4 P -ed, xz dy A z- 4..,v7`-- /7Zo 7—If(/�lr.J 1�/=� ftp! f 14A"cJ/41Z 9(o-7 <br /> Nature of Complaint: <br /> - SEPTIC FILLED UP WITH DIRT IN TANK WITH LIQUID - HAD SEPTIC PUMPED <br /> - <br /> IST COMPARTMENT FULL BLK SLUDGE -OWNER PUMPED SEPTIC OUT INTO YARD <br /> WILL NOT REMOVE IT - INSIDE HOUSE IS ALL BACKED UP BLK SLUDGE IN TUB - IN <br /> SINKS - IN TIOLETS - WELL IS ALSO CONTAMINATED VIA THE OWNER STATING TO <br /> MICKEY ANDREW - NEIGHBOR HAS RASH ALL OF BODY ON SAME WELL - <br /> --�-� <br /> 36"7-/o/L <br /> ed 46--A� X-4&-e�etr ar - ba.4ef V l <br /> 6 <br /> COMPLAINT Info - <br /> t COMPLAINT RODE; P PMONE <br />' A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other BB Unit P-Phone <br /> COMPLAINT STATUS:- J v 2- <br /> 01-Field Abated 02-0ffice Abated 03.-NAI Sent 09-Notice to Abate Issued 05-Enforte ACT Initiated <br />' <br /> 06-Transfer to Premise File 07-Refer to Other Agency 09-Nat Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IVfor Investigation <br /> F <br /> r <br />