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Date'vun: 02/20/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run bv' : CAROLD/ Page # 1 <br /> Copy # : 01 of 1 COP�e,,..AINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009710 Program/Element : 2227 <br /> Taken by : 0451 SASSON Date: 02/20/98 Assigned to : 0451 SASSON Date: 02/20/98 <br /> Hard copy Printed: <br /> Facility Name : Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 1615......W1.1th._..._S;T, (Must have FACILITY ID#) <br /> Complainant : STEVEN, SASSON ......... Home Phone: <br /> W Address PHS/EHD Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: ._.....Loc Code : <br /> Address: ........ .............. BOS Dist : <br /> City: APN # <br /> Phone : <br /> u <br /> BILLING RESPONSIBLE PARTY or OWNER Inf�ot <br /> Name T .__,_N0 5C/0 M.I_CHEL�E.__N0 +5 ......_. .......................Home Phone : <br /> Address 1810 SOMMERSVILLE RD ............ .... Work Phone: <br /> City: ANTIOCH, CA 94509 <br /> Nature of complaint: <br /> APPROXIMATELY 100 GALLONS ABANDONED WASTE OIL ON SITE �I�N�SIDDE THE <br /> � <br /> SERVICE BAY BUILDING . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> ................. <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-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 1I II IV for Investigation <br /> P <br />