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Date run: 11/19/ 7 SAN JOAQUIN COUNTY YUBLlt, nZA"In ���" "- page # 2 <br /> Run by : CAROLI <br /> Copy # : 01 of Oir COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # • C0009343 Program/Element 2531 <br /> Taken by : 0606 TRUER Date: U11507 Assigned to : 0606 TREVENA Date: 11/19/97 <br /> Bard copy Printed: <br /> Facility Name: Fac ID: BILL to inventoried FACILITY: <br /> Location: 5151 PACIFIC AVE (Must have FACILITY [DO) <br /> Complainant : TONI CARDIDALE Home Phone: 209-954--5035 <br /> Address : Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Lac Cade : <br /> Address : BOS 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 Colplaint: <br /> RAMOS OIL COMPANY SPILLED GASOLINE NEXT TO AN ABOVE GROUND STORAGE <br /> TANK NEAR SHIMA 113 . ET INVESTIGATED. <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PRONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/COT respondence <br /> O-Other EB Unit P-Phone <br /> COMPLAINT STATUS: vl�_ <br /> �field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> ransfer to Precise 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 I if complaint in another PROGRAM jurisdiction, Have Coaplaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 < <br /> QI, <br /> 1V for Investigation <br />