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Data run: 03/19/ 7 Report 15106 AN JOAQUIN COUNTY .PUBLIC HEALTH SERVIC <br /> Run by : MARYO 7w <br /> Copy # : 0.1 of 01. COMPLAINT INVESTIGATION REPORT Page # g <br /> C01PLAINT1t C000788JL Program/Element : 2380 <br /> 1*k*by : NI* LETITIA BRIGGS Date: 03/18/97 Assigned to 04@8 LETITIA KIM kte: 03/18/91 <br /> lard.ow.Prieteds 03/18/97 <br /> Facility Name: — Fac ID: <br /> Location- X20 E MARKET ST BILL to inventoried FACILITY: <br /> (Aust he" FACILITY 91) <br /> ComPl,ainant: LE. TITIA BRIGGS Home Phone: 209--468-3420 <br /> Addre8r: _—_Work Phone: <br /> FACILITY LOCATION/Property Info - <br /> DBA or. Name: Loc Code <br /> Address: 6 E T DOS Dist <br /> City: 5_TOCKTON APN # : <br /> Phone" <br /> B3LL NSPONSiTBLE PARTY or OWNER Info - <br /> Nam®: MANUjgN PAT Home Phone: <br /> Andress: 6 T _ WQr k Phone <br /> City: OCK1__0N CA 95205 <br /> Naturo of.Co"I'liat: <br /> U$T . . -TAINING PETROLEUM PRODUCT DISCOVERED .DURINW 600 E MARKET ST <br /> BLOCK ENVIROMENTAL ASSSESSMENT <br /> DINT Info - <br /> MN.AINNT NK: 0 OMEN UNIT <br /> A-AOeacy Referral B-BD OF $Wrvisors/City Cceuscil C-Counter N-Nail/Correspoadence <br /> O-Other EN Unit P-Phone <br /> COWLAIiN3 STATUS: <br /> 01-Field.bbated 02-Office Abated 03-Ml Seat Oaf-Notice toAbate Issued 45-Enforce ACT Initiated <br /> 06-Transfer to.Precise File e7-Refer'to Other Agency '00-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: _ <br /> i Referral Letter Sent by: - Date: <br /> Circle appropriate Unit 1 if complaint is saother PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> FOrdarded to UNIT: I II ' II ; Ili for Investigation <br />