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Run by = CAROLD,/-w Page # 4 <br /> C o 77 01 of 01 COMPLAINT INVESTIG,)TION REPORT <br /> COMPLAINT # = COOO8986 Program/Element 2546 <br /> Taken F 0008 Date: _ ' ass;;nec .. 000: 9R.Gn5 Oat: - <br /> �ard ..�� �riated- :9;:5!97 <br /> 3 _ i* Name : OWENS.......... .. .. ........ <br /> -- t to i`.ent:ried - ..--- <br /> L2t1Or _ ar: (M:St .ha':e r4CT._ " <br /> .�i is na nt � .i i:A HAMG=I _}�. Home rI'ILne <br /> ..._.._...___.__ ........_.._....__._._. ._.._..__...____._........._........__._._......................._..........__._._....._..._. <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: OWENS SPOCKWA'Y LSC Code - 99 <br /> Address : 14700 W SCHULTE R - ........ <br /> Ci tv • TPAC'r' qS3, APN 4 <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : OWENS BROCKWAY Home Phone: <br /> Address , 147",n W SHULTE RD Work -'hone <br /> Cit')/ : TRACY CA 95376-8628 <br /> APPROXIMATELY - GALLON OF DIESEL FUEL SPILLED DURING TRANSFER OF <br /> FUEL FROM ONE BULgr CONTAINER TO ANOTHER . L .SRIGGS RESPONDED . <br /> COMPLAINT Info — <br /> �MPLA::qT MOCE: _ PHONE <br /> A-Agew! Referral :-�1 ?: �U^.er':lsor=;C:tv .:oUlCll 'SCUnt -'!3ii.` 9r''�pCndeBCe <br /> 0-Other ... Unit P-Phone <br /> 11_Field. Abatad 02-0ffice Abated 'MAi :ant N-4oti:e =o Abate '_ssued :5-_nf.rce ACT :nitlated <br /> Off-Transfer to Premise File -.)7-Refer to Other A.genCr 06-Not Val-;A- 09-Foodborne illness <br /> Send Referral Letter to: <br /> Address: <br /> 'Referral _atter Sent bv : Date : <br /> Circle appr,opr:?te unit I if Complaint in another PROGRAM .jurisdiction. Have Cnmplaint Record and P/E C datS'� <br /> Forwarded _o i,NT T I 'TT :V <br /> for InVest:gation <br />