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� I <br /> Date run: 08/05/96 SAN JO'"'IUIN COUNTY PUBLIC .HEALTH Sp-RVIC Report 35104 <br /> Run by : MARYF fi, i i '. (.4). Page # 6 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0006604 Program/Element : 2300 <br /> Taken by : 0988 KASEY FOLEY Date: 08/05/96 Assigned to : 3913 R08ERT MCCLELLON Date: 08/05/96 <br /> Hard copy Printed: <br /> Facility Name: JIFFY LUBE Fac ID : 003741 <br /> BILL to inventoried FACILITY: <br /> Location: 1130 N MAIN (Must have FACILITY ID#) <br /> Complainant: CHEIF TOM MOORS—CITY OF MTCA Home Phone: 206-464-4650 <br /> Address: * FIRE DEPT . Work Phone: —606-5404 <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: JIFFY LUBE Loc Code 04 '. <br /> Address : 1130 N MAIN BOS Dist <br /> City: MANTECA 95336 APN <br /> Phone : 2-092-3906 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : FOWLER , DICK Home Phone : <br /> Address: 5627 STONERIDGE DR Work Phone: <br /> City : PLEASANTON CA 94566 <br /> Nature of Complaint: <br /> WAST OIL UST OVERFLOWED ONTO NEIGHBORING PROPERTY . <br /> a <br /> :i <br /> COMPLAINT Info — 4 <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral 8-80 OF Supervisors/City Ccouncil C-Counter N-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> i <br /> COMPLAINT STATUS: { <br /> s <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 41-Refer to Other Agency 08-Not Valid 09-Foodborne Illness -1 <br /> mak, <br /> q <br /> Circle appropriate Unit 4 if complaint in another PROGRAM .jurisdiction, Have Complaint Record and P/E updated <br /> e <br /> Forwarded to UNIT: I II III IV for Investigation <br /> a <br /> 3 <br />