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:..7- <br /> bate. run:_ <br /> 03/18/98 SAN AQUIN COUNTY PUBLIC HEALTH VIC Report 15104' <br /> RVn bye CAROLD�( Page # 2 <br /> Copy # : 01 of. O1 COMPLAINT. INVESTIGATION REPORT <br /> COMPLAINT # C0009882 Program/Element : . 2547 <br /> Taken by : 0606 TREVENA Date: 03/18/98 Assigned to : 0606 TREVENA Date: 03/18/98 <br /> Hard copy Printed: . <br /> r^1 lity Name. Fac ID: <br /> l BILL to inventoried FACILITY: <br /> Location: 23100 S_KASSON--RQ (Rust have FACILITY IDP) <br /> Complainant.. O .E.S.__MIKE _PARISSI-_,__.__,___-_-,Home Phone: 209-468-3963 <br /> Address: T _ Work Phone: <br /> FACILITY LOCATION/Property .Info - <br /> DBA or Name.: . ---_..:....... - --=--- ---. __.-T.Y -------- -- -Loc Code <br /> Address: 23100 S,KASSONN RD Dist : <br /> RA <br /> City: TCY �APN # <br /> Phone': <br /> BILLING RESPONSIBLE PARTY.. or. OWNER Info - <br /> Name: WOOLSEY OIL INC _.•;—__-_ _ Home Phone: <br /> Address: ..1_(>_6__E_RAh WEST: CIRCLE _Work' Phone: <br /> City STOCKTON CA <br /> Nature Of Complaint: <br /> 40 GALLONS._OF DIESEL FUEL SPILLED 'ONTO THE GROUNDS ON 03-14-98- E.T. <br /> RESPONDED.. <br /> COMPLAINT-.Info-- <br /> COMPLAINT-NODE: P.. ,PHONE <br /> A-Agency Referral. .&BD%.OF Supervisors/City.Ccouncil - C-Counter M-Hail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: o <br /> Yield Abated O2-Office Abated 03-NAI Sent 04-Notice io Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfar to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter .Sent by: Date: <br /> Circle appropriate Unit 1 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II II IV for Investigation <br />