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i <br /> Date run: 08/14/96 SAN("',)AQUIN COUNTY PUBLIC HEAL77SERVIC Report 45104 <br /> Run by : MARYFPage # 2 <br /> Copy # : 01 ot 01 COMPLAINT INVESTIGATION REPORT <br /> r <br /> COMPLAINT # C0006683 Program/Element = 2rff- <br /> Taken by : 0988 KASEY FOLEY Date: 08/09/96 Assigned to 3973 Date: 08/09/46 z6'k <br /> Hard copy Printed: tx�C" eJencc. <br /> Facility Name: .......... Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 4055 N . (WILSON WAY-STOCKTON [Must have FACILITY ID4? <br /> ..._...-.......__.._..._._._........................__.............................................._.... <br /> ...._..__......._ <br /> CompAddress : <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name : Loc Code = <br /> Address: BOS Dist ; <br /> city : _ APN -# = <br /> Phone : <br /> I <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name : CHRISTOPHER BENNET Home Phone: <br /> Address : Work Phone : <br /> City . --._.-._...._...............--_..._.._..-..-.........._.-.._.-._..............._._.._....... . _w.._.__....__...._, _._. <br /> Mature of Complaint: <br /> HAZARDOUS MATERIALS RUNNING INTO STORM DRAIN . <br /> ' I <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A....... AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-flail/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-Nat Valid 09-Foodborne Illness <br /> fi Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br /> I <br />