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Gate ruts. LO/18/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICt Rep*t 45104 <br /> Run by = CAROLINE Page # 1 <br /> Copy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0002767 Program/Element » 2546 <br /> Taken by : 0001 LINDA TURKATTE Date: 10/18/94 Assigned to : 0001 LINDA TURKATTE Date: 10/18/94 <br /> Facility Name= Fac ID: <br /> 3 0 0 0o A Scan BILL to inventoried FACILITY: <br /> Location= SAN....._JOAQU.I.N....._R.I_V R.. — ,fix ms C:¢. (Must have FACILITY I01) <br /> 414— <br /> Complainant : D NN.I_S...... ,TELDS/OES..............................._......................................................Home Phone= <br /> Address „Work Phone : 209--468..-39,69 <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name» Loc Code » <br /> .....................................................-..............-............................................................................................................................................................ <br /> Address ................................. BOS Dist <br /> ...................................._..........................................,...................._.-.................. ......................... <br /> City: <br /> Phone = <br /> BILLING RESPONSIBLE, PARTY or WNER ,Info — <br /> <br /> ress. ?....._... ......-.. ��.�.$............... __..._..........................__. ................................ Work Phone- <br /> city : ` <br /> Nature of Complaint <br /> BOAT SANK OFF BURNS CUT ON SAN JOAQUIN RIVER/DIESEL FUEL RELEASED TO <br /> WATERWAY . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EM Unit P-Phone <br /> COMPLAINT STATUS: 01., <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 /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 III IV for Investigation <br />