Laserfiche WebLink
ate run: 03/22/ SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Ru n�by_ CAROLD '��'- <br /> Page 4 1 <br /> Capy #,p' z 01 of 1 C' LAINT INVESTIGATION REPOR <br /> COMPLAINT # C0011949 Program/Element } T Taken by : 6519 OISA Date: 03/22/99 Assigned to 0416 KITH Date: 03/22/99 �RFIDEN IAL <br /> Hard copy Printed: <br /> F=acility Name : ARCO STATION Fac ID: 003612O <br /> BILL to inventoried FACILITY. <br /> Location: 17.1..1....._E „_YOSEMITE=, (Aust have FACILITY I04) <br /> Complainant: 30"H'"N...._BL_I.SZC .................................11....1............. Home Phone: 714-670---5403 <br /> Address : .......-,............._._........_..........................._............................................1..111_..........................._Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : A-RC <br /> O....._STATI,ON....._#6020.*.......................... <br /> ... ....Loc Code : Off" <br /> ..........................._.... ........................................ <br /> Address: 1.7_11.._..E....._YOSE MITE......... .. ._........_..........................._............:.............._....:BOS Dist : 00�. <br /> City: ANT_ECA. 95336 APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name- ARCO,-.PRQDUGTS CO <br /> Home Phone: 714--670--5404 <br /> Address: 17.3.15L"'-STUJf� BAKERPD ."1.................. ........Work Phone : . 310-407-2605 <br /> City . C_ERRITOS. CA" 90701 <br /> Nature of Complaint: <br /> WHILE DIGGING UP AREA OF= ' ARCO GAS STATION , NOTICED THERE HAS BEEN <br /> LEAKING GASOLINE . C .D . NOTIFIED M .K . OF SITUATION BY PHONE . <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 /> ............. <br /> - ffice Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise Fie07-Refer to Other Agency 06-Not Valid 09-1oodborne Illness <br /> Send Re errs Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit t if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT: I IEl Ifi <br /> IV for Investigation <br />