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Date run: 09/28/98,/SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : CAROLD CA i Page # 3 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = COO11O56 Program/Element 2531 <br /> Taken by : 0606 TREVENA Date: 09/21/98 Assigned to : 0606 TREVENA Date: 09/28/98 <br /> Hard copy Printed: <br /> Facility Name: Fac ID: ;A <br /> i <br /> BILL to inventoried FACILITY: <br /> Location: 1,950,,,,,_W,,,,,_F"REMONTST, (Must have FACILITY ID#) <br /> Complainant : STOCKTON FIRE DEPT . BOB NEWMAN Home Phone: 209-937-8021 <br /> Address: Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name : Loc Code : <br /> ............. ............... _......._.._._......._,__..._...._......._........................_...._._...._......__.....................- <br /> Address: 1950 W FREMONT ST POS Dist : <br /> City: ST"OCKTON APN # <br /> Phone' <br /> - <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address: Work Phone: <br /> City : _ ........... <br /> Nature of Complaint: } <br /> CHLORINE GAS CLOUD RESULTED FROM TWO CHEMICALS MIXED AT THIS FACILITY . <br /> SIX PEOPLE WENT TO THE HOSPITAL . <br /> a <br /> •i7 <br /> 3 <br /> .y <br /> ,j <br /> .g <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: C <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> (Dransfer to Premise File 07-Refer to Other Agency 08-Kot Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date' <br /> Circle appropriate Unit # if complaint in a of r PROGRAM jurisdiction, Have Complaint Record and P/Elupdated <br /> Forwarded to UNIT: I II III IV for Investigation <br /> a <br />