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Date rerun: 09/24/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : KAREN r( Page # 5 <br /> Copy # : 01 of101 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0006953 Program/Element : 4200 <br /> Taken by : 0644 TED NORGARD Date: 09/23/96 Assigned to 0644 TED NORGARD Date: 09/23/96 <br /> Hard copy Printed: <br /> Facility Name : Fac ID: <br /> � BILL to inventoried fACILITY: <br /> Location- ' _" LIBERTY l q ! 3 3 `L �r (Must have FACILITY ID#) <br /> Complainant: ANONYMOUS _ _ _ Home Phone : <br /> Address: __ __ Wnrk Phone : <br /> FACILITY LOCATION/Property Info — � �, 60c?— <br /> DBA or Name: VV1'. a/vl p( l' u ! !..at ✓. _ Loc Code : <br /> Address : BOS Dist <br /> City: QNI Qn17S APN 11 <br /> Phone : •7&-cp_ 36t_// <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone: <br /> Address: Work Phone: <br /> City : <br /> . r <br /> Matu?e of Complaint: <br /> SOLID WASTE BEING DUMPED ON THE PREMISE ADDRESS ( FIRST HOUSE WEST OF <br /> 19211 EAST LIBERTY ROAD ) PER TED NORGARD . , <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 EH Unit P-Phone <br /> COMPLAINT STATUS: ,,......,., <br /> gField 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 /> i <br /> 1 <br /> Circle appropriate Unit# if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I G <br /> III IV for Investigation ` <br />