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Date,'r n: , 31/31/97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> 06 by CAROLDf� Page # 1 <br /> copy # 01 of 1 COMPLAINT INVESTIGATION REPORT <br /> C "INT # : COOO7599 Program/Element : 2531 <br /> Taken by : 0606 ERIC TREVENA Date: 01/31/97 Assigned to : 0606 ERIC TREVENA Date: 01/31/97 <br /> Bard copy Printed: <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: CORNS R._OF WE51_,_LANE &rBLANCNj. (Must have FACILITY IW <br /> Complainant: PAUL_ GMEPC8�E. OR _ Home Phone: 249-942-1494 <br /> Address: MR. HANDS _ -.__.._._........._....__._�_ _._._.� <br /> Work Phone: 209-942-14_Q,_1 <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: M — .__ ._Loc Code : <br /> Address: ___.._..._. ..._. _BO5 Dist <br /> City= _ APN # <br /> Phone: <br /> BILLI48 RESPONSIBLE PARTY or OAR Info -� <br /> Name: ----___._-- --------------___---__._._.___Home Phone: <br /> Address: _ Wark Phone: <br /> City: <br /> I4ture of C9aplaint: <br /> TRANSFORMER LEAKED. PCB'S. 6 .4 SIDE WALK AND STREET CLEANED . SOIL <br /> ADJACENT TO SIDEWALK REMOVED . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-AgeiKy Referral B-BD OF Supervisors/City Ccouncil C-Counter H-Hail/Corraspondenca <br /> O-Other EH unit P-Phone <br /> CWLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-HAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Precise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness <br /> Circle appropriate unit 1 if cosplaint in another PR06RAN jurisdiction, Have Cosplaint Record and P/E updated <br /> Forwarded to UNIT: - 1 11 (D> IV for Investigation <br />