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-e run* d2J /9 3 COMTY Ply I <br /> P <br /> C HEALTH SERVIC mt 1 <br /> Con 4 of of i COMPLAIMT. INVESTIGATION REPORT <br /> �AMgP AJM .# = 00007767 Program/Element 4200 <br /> * IIl1 f1lg<E Mto: 92/26J91 Asti td to 9321 ALMIM ate:.92/26/97 <br /> �� 52126147 <br /> P ity dame= NEg�J #i[�E LANaI G ENA3»_-S E Fac ID: QQQb4 <br /> BILL to inventoried FACILITY: <br /> Loc ktlon: 13945 W W�..NVTCROVE_RD (Must M" FACILITY 30) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name= T Loc Code : <br /> Address: SOS Dist : QQ4 <br /> City: THORNTQM 95686 APN 4 = <br /> Phone: 209-794--2627 <br /> BILLING 4REW"alB .E QTY or OWNER Info . <br /> Now: Home Phone: 209-794-2627 <br /> Address. Work Phone: <br /> city: TITf7M CA 95686 <br /> Mtwo of CNAliet= <br /> REPAIRING LEACH LINES WHICH DUMP INTO DELTA WATERWAY . <br /> CSI"T Info - <br /> CMKM MK: P MK <br /> A-Apart' ghforrtl O swervi"WiCity Cceuetil C-Collar N-Mil/Corrmpli'lln <br /> t P-PNMe <br /> STATES: © � <br /> L. `eld M*W 02-offiro A wW *,-NJ Sod 91-Ratite to Arte Ind 06-Eaforu ACT Ioitirtad <br /> rifer to'hwiso fila 97-Rtfer to QUw Afwy M-Mot Ytlid 99-Foedboree Ilium <br /> Circle swofrists gait 1 if cooltiat is wotber PRUW jurisdiction, Have CoWlaint Record and P/E ueated <br /> Forwarded to UUT: I III IV for Iovutiodes <br />