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Date run: 09/21/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> Run by'!,,, CAROLINE Page # 1 <br /> Copy% 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0002601 Program/Elemen = 2380 <br /> Taken by : 2115 CAROLINE NASCIMENTO Date: 09/20/94 Assigned to 0418 MICHAEL KITH D e: 09/20/94 <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 17.1.1............E Y45. M.IT . (Must have FACILITY IO#) <br /> Complainant: Mi.AR_ILYN....._ELL._I_CH,._..__.....____...,.._._.....,....... .............Home phone : 714-670--5417 <br /> Address : . . Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name: ARCO #6020 Loc Codi: : 04 <br /> ..._..................................._............................................_._...................._..._................_.........................._.._.............................._................._... ........... <br /> Address: 1711 E YOSEMITE BOS Dist : 005 <br /> .................._.................._._._.................................................................._................................._.........................-...................._...._.................................................... ................. <br /> City: MANTEC.A. 95336 APN # r <br /> Phone : 714-670-5417 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: ARCO Home Phone : 714-670-5417 <br /> Address: p...p..-......_B,DX....._6038..........................................................._._......M.._...,,....,., ...,..�...........:..,.............._.._Work Phone: <br /> City : ARTES.I.A. CA 90702 <br /> Nature of Complaint: <br /> PUMP DID NOT SHUT OFF-8-9 GALLONS SWILLED ON TO GROUND ,CUSTOMER 'S CAR ; <br /> WAS CONTAINED AND CLEANED—PUMP WAS REPAIRED/NONE WENT INTO STM DRAIN; <br /> NONE_ ON GROUND _ ALL ON CEMENT PAD . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-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 01-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 III IV for Investigation <br />