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w— WI W7/ i(D --Df-11'1 Y HUt�LiU h3 h1L 1'1^ FCV ( " HepOrt 0104 <br /> KIR un by CAROL.D4 Fuge # 1 <br /> COPY # = 01 of 0r— COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0010584 Program/Element 2547 <br /> Taken by : 3973 MCCLELLON Date: 07/03/98 Assigned to 3973 MCCLELLON Date: 07/09/98 <br /> N`''�,copy Printed: 07/09/98 <br /> ility Name Fac ID : <br /> BILL to inventoried FACILITY: <br /> - (Must have FACILITY ID#) <br /> Location: 1.6588. ...MC......................................_.KINLE-Y Rp... <br /> Complainant : MR._-......C.O.C.KRELL..............0 E... 5............................................_......._.... Home Phone: 209-468--3969 <br /> Address : Work Phone : <br /> F=ACILITY LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address: 1.6888....._MB....._K_1_ML Ex--.RD- .....................................BOS Dist : <br /> City= LAT ROR APN # : <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : CRYSTAL.....TRANSPOR,TA,(_T,QN.-.1_MB.............................................................._Home Phone : <br /> Address: 1,850 HIGGIN RD STE 11 ............_.work Phone : G <br /> City: ELK.....GRCV_E......VI_LLAGE. I_L. 60007 <br /> Nature of Complaint: <br /> 100 GALLON DIESEL SPILL AT WEST PAC FOODS IN LATHROP . r� <br /> _ LRS <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 EN Unit P-Phone <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued OS-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Refs-ural Letter Sent by: --_-_ Date: <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> ForWaTded to UNIT: I II ITT IY for Investigation <br />