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Date run: 01/14/99 N JOAQUIN COUNTY PUBLIC HEAL 1 H $LHV IU Report 4504 <br /> Run by = GAROLDt Page # 3 <br /> copy # : 01 of O %..0PLAINT INVESTIGATION REPOF, i <br /> COMPLAINT # C0011538 gram/Element : Z�6B-� <br /> Taken by : 6519 DISA Date: 01/14/99 Assigned to 0991 Date: 01/14/99 <br /> Hard copy Printed: ;I <br /> Facility Name : Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 1.010INDUSTRIAL DR (Must have FACILITY IN) <br /> ...................................._. <br /> Complainant : RON....._MC......GAUAN....__............._............. ......................................................_............._._..._Home Phone:'' 209-472--7901 <br /> Address : _....._....._....._......._..................._........................................................................._._.___._............_.._......................work Phone : , <br /> STOCKTON CA <br /> ..........................................._... <br /> FACILITY LOCATION/Property Info — <br /> vv nnJJ.. (t I <br /> A.L fes-.J.l.� .,L�Iwp� !'...- <br /> Code : <br /> DBA or Name : r..,..,.-.'^ <br /> Address : 1o1.a....._�... ............................. .......... .. . _ _ _........._._._................._......._.. <br /> _...._._ ..... <br /> .._©R..........................................................................._......._....................................__......._......'...805 Dist : <br /> .. <br /> city: STOCKTbN APN # <br /> Phone : <br /> .a <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address: Work Phone: <br /> city , <br /> Nature of Complaint: <br /> CHEMICAL CONTAMINATION IN BACK AREA WHERE TRAINS ARE UN—LOADED . THERE <br /> IS NO CONTAINMENT WHEN TAKING CHEMICALS OFF TRAINS . WHEN IT RAINS <br /> WATER THAT IS WALKED THROUGH STAINS CLOTHES . PLEASE CALL AF=TER INSPECTION <br /> COMPLAINT Info �- <br /> :r <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 /> 01-Field Abated 02-Office Abated 03-HAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness.' <br /> a <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date : <br /> Circle appropriate Unit I if complaint in an er PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> FOraarded to UNIT: I IiII IV for Investigation <br /> i <br />