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^4 ° rQ7 -- ^- � 7OAOUIN COUNTY PUBLIC HEALTH �V •" Report #5104 <br /> Run bye ._. €AROLD/(� Page # 1 <br /> Cop,/ # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009003 Program/Element = 1600 <br /> Taken by ' 3304 ARMSTRONG Date; 09/15/97 Assigned to 0794 MATHEO Date: 09/1 /97 <br /> -'ar3 -'py Dr—ted, <br /> Facility Name = ARCO STATION #6100* Fac ID = 00363.9 <br /> ............ ..........._.................. ............ ....... <br /> BILL to inventoried FACILITY: <br /> Location; "�f? s. PATTERSON .PASS RD (Must haus FACHITY ID#! <br /> ,)mp1a 1 rr«n <br /> ' .. 'LINES Home Phone:- 209-523 _3863 <br /> Address, Work Phone. <br /> FACILITY LOCATION/Property Info - <br /> .BA or Name= ARCO STATION #61.00* Lo(:-, Code = 03 <br /> ................... <br /> ....__....._... <br /> Address ' 25775 S PATTERSON PASS RD BOS Dist : 005 <br /> City , TRACY 95376 APN # = <br /> Phone - 209 -835-7777 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name : ARCO PRODUCTS CO Home Phone= 714-670-5404 <br /> Address : 1731.5 STUDEfAKER RD Work Phone: 310-M407-2605 <br /> City = CE~RRITOS CA 90701 <br /> 4aLre of vonpla:at: <br /> RESTROOMS DIRTY . C_"It t.; AS -S P'0-,-S-TBLE_. <br /> COMPLAINT Info - <br /> COMPLAINT MODE ...PRONE <br /> 4-Agency Referral B-SD OF Supervisors/City Ccouncil C-Courter M-hail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> CCl?PL A.NT S'ATUS; 01 <br /> Abated Abated '?3-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT .pi+:a+ed <br /> 4b-1ranSrn1 to Premise File 97-Refer to Other Agency DS-Nat Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Referval Letter Sent by: Date:. __ <br /> Cir_Ie appropriate Unit # if complaint in another PROGRAM ,urisdiction, Have Complaint Record and PIE updated <br /> Forwarded '..^_ .NI? II i i I I or investigation <br />