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UeL� /un - 09/22/97 SAN JOAO 'ZN COUNTY PUBLIC HEALTH SER;IC Report #-104 <br /> Run by CAROL . Page # l <br /> Copy # Ol of P1 / PLAINT INVESTIGATION REP[ <br /> ` <br /> COMPLAINT # C0009036 Program/Element , 4433 <br /> Taken by ; 0562 PADILLA Date: 09/22/97 Assigned to 0562 PAUILLh Date: 09/22/97 <br /> Hard copy Printed' <br /> Facility Name : __ Fac ID � <br /> BILL to inventoried FACILITY: <br /> ------ <br /> Looation: 3750 E . WOODBRIDGE RD (Nuxt have FACILITY ID#) <br /> Complainant: Home phone : <br /> Address Work Phone , <br /> _ <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : .................................... no C0de � <br /> Address " OS Dist � <br /> City " _ APN # � <br /> Phone -. <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name - ome Phone : <br /> Address: Work Phone-, <br /> City : C� 9S718 <br /> Nature of Complaint: <br /> ILLEGAL DUMPING OF REFUGE . <br /> ' <br /> COMPLAINT Info — <br /> COMPLAINT MODE: ppHONE <br /> A-Agency Referral 8-8O OF Supervisors/City Ccounui1 C'Cuuntor M-Mai1/Coreopnndonco <br /> U'Other EH Unit P'Ph000 <br /> �.'OMPLAINT STATUS: <br /> 01'FioLd Abated O2'Uffico Abated 03-NAI Sent 04'Nntioo to Abate Issued 05-Enforce ACT Initiated . <br /> 06'Tronafer to Premise File 07'Rmfo/ to Other Aqonoy. 08'Not Valid 09-Fvodburno I}1nouo <br /> Send Referral Letter to: . <br /> Address: <br /> Referral Letter Sent by . Date : <br /> Circle apprupriatw Unit .1 if complaint in another PROGRAM jurisdiction, Have Complaint-Record and P/E updated <br /> Forwarded to UNIT: I IIl IV for Investigation <br /> ° <br />