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Date- riln: 08/21/95 SAN&AOUIN COUNTY PUBLIC 1HEAL_SERUIC Report t5104 , <br />Ru -n by : SHELLY�(,� rage # <br />Copy # : 01 of 1 COMPLAINT INVESTIGATION REPORT <br />COMPLAINT # = C0004469 Program/Element = 2547 <br />Taken by : 0418 MICHAEL KITH Date; 08/21/95 Assigned to : 0.418 MICHAEL KITH Date: 08121!95 . <br />Hard COPY Printed: <br />Facility Name: Fac.ID: <br />BILL -to inventoried FACILITY. <br />Location: 19555..„N_.__TULL,Y_,.ROAD . FACILITY IDI) <br />(Must have FAC <br />Complainant:, MOKELUMNE-.„FIRE _DISTRICT.,_ - _._Home Phone: 209-727-0504 <br />Address: —.__.__� _ �_ _.__—_.___ --_...___Work Phone: <br />FACILITY LOCATION/Property Info - <br />DBA or Name: <br />Address: <br />City: <br />Phone: <br />APN ## : <br />Loc Cade : <br />_BOS mist : <br />BILLING RESPONSIBLE PARTY or OWNER Info - <br />Name: DOUGLAS HINN-... _._..._ <br />.._........_.........._._._... dome P 1o��e: 209-727-S5,3`1 <br />-Address: 19555__.N._.._TULLYROAQ._..._.�__.... .....-___.._.Work Phone: <br />City: LOCKEEORD <br />Nature of Co®Plaint' d2' <br />105 DIESEL SPILL. OWNER/OPERTOR WASHED 14- INTO l '_TORM DRAIVAND SHOOL <br />FRONT YARD. MK RESPONDED. <br />COMPLAINT Info - <br />C09LAINT MODE: P PHOHf <br />A -Agency Referral 9 -BD OF Supervisors/City CCOUDCil C -Counter M-Mail/Correspondence <br />0-00er EH Unit P -Phone <br />COMPLAINT STATUS: <br />n' -Field Abated 02 -Office Abated 03 -NAI Sent 04 -Notice to Abate Issued 05 -Enforce ACT Initiated <br />y6_7rznsfer to Precise File 01 -Refer to Other Agency 08 -Not Valid. 09 -Foodborne Illness <br />Circle APPropriate Unit # if complaint in another PR08nAM jurisdiction, Have Complaint FeKrd and P/E updated <br />Forwarded to UNIT: 1 11 II IV for 'investigation <br />