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Ronebrun: <br /> 02 08 99 AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Page # 6 <br /> Py # 01 Of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0011682 Program/Element : 2360 <br /> Taken by : 0008 BRIGGS Date: 01/15/99 Assigned to : 0008 BRIGGS Date: 02/08/99 <br /> Hard copy Printed: <br /> Facility Name : SN S L...._S.ERVI_CE......5.0TION* Fac ID : 003862 <br /> BILL to inventoried FACILITY: <br /> Location: 880.. ,. VT,CTQR RD (Must have FACILITY ID#) <br /> Complainant : LETIT.I.A_....BR.IGGS_....._._....................................:.........................._........................_Home Phone 209--468-3468 <br /> Address : ._..............................__....._._......_. . Work <br /> _............ Phone- <br /> i <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: SHALL._ S RVI_CE......STATI.ON.*.............................................._....._.........................._......._...,.. _._...f:!._Loc Code .0 <br /> Address : 880 VICTOR RQ....._ .... „,y, BOS Dist : 004_ <br /> ... ........... .................._...._...................... <br /> City : LQDT. 95240 APN # <br /> Phone : 209--957-5398 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name : EQUILON LLC ENTERPRISES Home Phone : 510-675-6:145 <br /> Address : 500 SHELL...AVE Work Phone: 510-335-5026 <br /> City : MART_I_NEZ CA. 94553 <br /> Nature of Complaint: <br /> ON 01--15-99 AT THIS SITE FOR ALARM RETROFIT INSPECTION , I FOUND THE <br /> DISPENSERS HAD BEEN REMOVED AND TANKS HAD BEEN TAKEN OUT OF SERVICE <br /> WITHOUT A PERMIT , IMPROPERLY ABANDONED . <br /> a <br /> { <br /> .j <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE i <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: (�.� <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness , <br /> i <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT: I II III IV for Investigation ^{ <br /> ,x <br /> a <br /> r <br />