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Public Works Dept <br /> f <br /> 7 173 <br /> Rgviered by: Date: `/ " <br /> 4 <br /> Date: <br /> Complamt Record Updated By! <br /> Revised Report 55104 7/8/93 <br /> Date run: 12/01/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by SYLVIA Page 0 3 <br /> Copy 0 : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMAIMAlMMMMMMMMMMAlMMMMMMMMMMMMI EfMMMMMMMMhlMMMMMMMMM <br /> 'COMPLAINT R : 00001109 Program/Element 4400 <br /> Taken by : 2115 CAROLINE NASCIMENTO Date: 12/01/93 Assigned to Date: 12/01/93 <br />' Facility Name: ARCO AM PM WATER SYSTEM Fac ID: 004312 <br /> BILL to inventoried FACILITY: <br /> Location: 25775 S PATTERSON PASS RD TRACY (Must have FACILITY IDO) <br />? Complainant: <br /> <br /> ti <br /> 4! FACILITY LOCATION/Property Info - <br /> 1 DBA or Name: ARCO STATION Loc Code 03 <br /> Address: 25775 S PATTERSON PASS RD SOS Dist 005 <br /> ► City: TRACY 95376 APN 5 ' <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OMNER Info - <br /> Name: DONALD AN Home Phone: <br /> Address: 25775 PATTERSON PASS RD Work Phone: <br /> City: TRACY CA 95376 <br /> Nature of Complaint: <br /> - SEPTIC TANK FULL - TOILETS RUNNING OVER - COMPLAINANT VERY UPSET - <br /> F <br /> COMPLAINT Info - <br /> ' COMPLAINT MODE: P PHONE <br /> F A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> { <br /> COMPLAINT STATUS. V ' <br /> G <br /> 01-Field Abated 02-Office- Abated 03-NAI Sent Notice to Abate Issued 05-Enforce ACT Initiated <br /> O8-Transfer to Premise File 47-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br />