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Date run: 45/16/94 SAN OAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by CAROLINE Page # 1 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> .MMMMM.+!MMIfMMMMMMMMMMM.�fMM..A!MMMMMM.MMM.MMMMMMM!ti!MMMMMMMMMM.MMMMMMMMMM.AiM.MMMMM..+�f.MMMMfdMMMFIM <br /> COMPLAINT P : 0001874 Program/Element 2547 <br /> Taken by 2115 CAROLINE NASCIMENTO Gate; 45/14/94 Assigned to : 09 <br /> 9 88 <br /> K ASEY FOiEY Dat-: 05/1.4/94 <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY' <br /> -Location: 1448 SHAW ROAD (Must have FACILITY T_D#) <br /> Complainant: CITY OF STOCKTON FIRE DEPT. Home Phone: <br /> Address: Work Phone: 209-463-8707 <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: US CHEMICAL Loc Code <br /> Address: 1448 SHAM ROAD BOS Dist ; <br /> City: - A.PH # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name: s C Home Phone: <br /> Address: Work Phone: <br /> City: CArc <br /> Nature of Complaint: <br /> 2000 GAL-OF PHOSPHORIC ACID SPILLED ONTO THE GROUND. KF RESPONDED, <br /> 0014PLAINT info - i <br /> COMPLAINT MODE, A AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Carrespondence <br /> O-Other EH Unit P--Phone <br /> COMPLAINT STATUS: 06) <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Tran5fer to Premise File 07-Refer to Other Agency OB-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit it if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III. IV for Investigation <br />