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to run: 04/21!Q7 SAN JOAQUIN COUNTY PUBLIC H&!)L TH SERVIC Report 45104 <br /> n by = KAREN(( Paae # T <br /> Py # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br />!MPLAINT # : COOO8058 Program/Element 2200 <br /> en by : 3304 KAREN ARMSTRONG Oat?: 04/21/97 Assigned to : 195? JERRY YOSHIOKA Date. 04/21/9? <br /> d copy Printed: 04/21/97 <br /> cility Name : Fac TO: <br /> BILL to inventoried FACILITY: <br /> cation: 20801 WOODWARD AVE NUE (Must have FACILITY ID# I <br /> mP 1 a i na nt : PAUL...COOK_._._._...._.........._....__._.__.........._._._.. ._----.__......._........._.__...._Nome Phone : 209-239-0553 <br /> Address : Work Phone: <br /> CILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code : <br /> .._................_._........._.....__.........._............ <br /> Address : B0 Dist <br /> City: APN # <br /> Phone : <br /> LLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone: <br /> ........................._.....__....__....._... . ..............................._...................... <br /> ._..--_.._.._.- __.... <br /> Address: Work: Phone: <br /> City: <br /> ire of Complaint: <br /> The owners of Ilander Mobiis Home Park; are dumping hazardous material <br /> into the water ( Paint cans-gas cans & etc . ) <br /> MPLAINT Info — <br /> COMPLAINT MODE: P_ PHONE t <br />-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Corre$ponde^ce <br /> 0-Other EH Unit P-Phone <br />)MPLAINT STATUS: <br /> ................. <br />[-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-enforce ACT Initiated <br />:-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 />:le appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I H 0 IV for Investigation <br />