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r <br /> Date run" 09/.'29/9S SAN .JC7AQUIN COUNTY PUBLIC H�.AL_TH St=RVIC Report #5104 <br /> E2ur, by SHELLY Pane # 1 <br /> Copy # ; 01 of 01 COMPL-AINT INVESTIGATION REPORT <br /> COMPLAINT #k�= COOO4722 Program/Element. 2ES46 <br /> Taken by : 3973 ROBERT MCCLELLON Date: 09/29/95 Assigned to 1073- ROBERT MCCLELLON Date' 09/29/95 <br /> Hard copy Printed: <br /> Facility N8rne= Fac ILS ; <br /> SILL to inventoried FACILITY: <br /> Location- ?a0 _.. u_Y:._�_�i ;t„..,..1._t.cid. (Must have F4CIi.ITY iD#) <br /> Complainant = <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Na°.nie= _- .. ...... .. toc Garde <br /> Address; Cl... Dist <br /> B � <br /> City <br /> Phone'. <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Nano!; orsen tr_uc_K.arl ..............__ - . . _............................... ._ .__.._....Hearn- Phone' <br /> d esS - Wo”- K Phone: <br /> c i t}F <br /> Nat,re of Corplaint: <br /> di*,sel �pil.L� arour-,d PumP . diesel stains on the ground <br /> COMPLAINT Info — <br /> COMPLAINT MODE: } - . PhONE <br /> A-Agency Referral B-BD OF SuPeN iSors/City �COUnCii C-Counter M-Mail!Ccrrespondence <br /> 0-Other EH_Uiiit P-Phone <br /> COMPLAINT STA.ThS� I <br /> 01-Field Abated 02-Office.Abated 03-NAF Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise File O?-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br />