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Date run: 08/17/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 0104 <br /> Run by : ROSEMARY Page N 9 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # : COOOO5O4 Program/Element 2200 <br /> Taken by : 0808 ERIC TRRENA Date: 09/17/93 Assigned to : ate: 08/17/93 <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: _ <br /> Location: 8000 WAVERLY RD, LINDEN .(Must have FACILITY IDm) <br /> Complainant: Home Phone: <br /> Address: Work Phone: <br />' - 1 <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: UNKN Loc Code 99 1 <br /> Address: 8000 WAVERLY RD BOS Dist 004 <br /> City: LINDEN APN At <br /> 1 Phone: <br /> OWNER Info — BILLING Party: <br /> Owner/Agent: . Home Phone: <br /> Address: - Work Phone: <br /> City: <br /> Nature of Complaint: <br /> TENANT OPERATING AT PREMISE ADDRESS HAS SPILLED APROX 300 GALLONS OF <br /> DIESEL FUEL ADJACENT TO 10,000 GALLON ABOVE GROUND TANK — <br /> A COMPLAINT Info — <br /> COMPLAINT MODE: <br /> A-Agency Referral B-BD OF Supervisors/City Ccouneil C-Counter H-Mail/Correspondence <br /> 0-Other EN 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 1 <br /> DB-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> 1 <br /> i <br /> f. <br /> Circle appropriate Unit a if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> F <br /> Gnrvv raaA to HUT, r 11 rrr rV fn, lnvesTi mTSnn ~� r <br />