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Ila n Complaint Investigation Form Report* 5104 <br /> COMPLAINT ID: C00043733 Site Location: 1700 N CHRISMAN RD Account ID: AR0033402 <br /> Received by: EE0000418 KITH Received Date: 6/30/2017 Print Date: <br /> Assigned To: EE0003973 MCCLELLON Assigned Date: 6/30/2017 6/30/201712:45:02PM <br /> Pmaram/Flment ode:4500-MEDICAL WASTE PROGRAM <br /> Complainant :ALISON DABNEY-CA DPH Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcomplaint. <br /> FACILITY IS ATTEMPTING TO GET RID OF BODY PARTS AT A SMALL TREATMENT FACILITY IN FRESNO. <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ___________________I-Intemet/Email S-Sherifrs Office <br /> ----------------------------- <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA0018804-PACIFIC MEDICAL INC Owner: OW0015466-PACIFIC MEDICAL INC <br /> Site Location 1700 N CHRISMAN RD RPiDBA <br /> TRACY,CA 95304 RP Address 1700 N CHRISMAN RD <br /> Cross Street PARADISE TRACY,CA 95304 <br /> Mailing Address: 1700 N CHRISMAN RD Billing Address 1700 N CHRISMAN RD <br /> TRACY,CA 95304 TRACY,CA 95304 <br /> Home Phone :800-72&9180 <br /> Phone :800-726-9180 Work Phone <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN 25003023 <br /> ---Date Abated -- —Inspector ID <br /> Send Referral to Referral Letter Sent by <br /> Referral Address <br /> Date: <br /> Complaint Status Code: 09 <br /> Circle appropriate Status Code L <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Conected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-ReOerred to Other Agency <br /> Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Program Enforcement Action Form <br /> omp aml ('Q . (I,(- atTI UPtlated b�l�/V(/V <br /> ate: <br /> 5104.rpt <br />