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Date run: 01/22/99 SAN JOAQUIN COUNTY PUBL,.lu r LLL l m Pagen 1 <br />Run by CARDED <br />Copy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br />LOMPL�INT # : C0011573 Program/Element : 2300 <br />Taken by : 0001 TURKATTE Date: 01/22/99 Assigned to : 9903 WILSON Date: 01/22/99 <br />Hard copy Printed: 01/22/99 <br />Facility Name: HOLLY . SUGAR .CORP. Fac ID : 005302,.. BILL to <br />inventoried FACILITY: <br />Location: 20500HOLLY DR <br />_,,, <br />Complainant: <br /> <br /> <br /> <br /> <br /> <br />DBA or Name: HOLLY__SUGAR..._CORP._........._....._..........................._..._. Loc Code : 03, <br />Address: ZO,a00......HOLLY....._DR.........._............ ..... ._.................. _............._..................... ........................... ... ..__.... ........... ........ ............. .._... <br />805 Dist : 005, <br />City- � RACY, 95376 APN # <br />Phone: <br />BILLING RESPONSIBLE PARTY or OWNER Into — <br />Name: HOLLY SUGAR ......................_..............._...._................. ............. -Home Phone: <br />.............................. . <br />Address: PO.._._Box....._ 60.......___...._........_.... Wo k Phone: <br />City: TRACY CA, 95376 <br />Nature of Complaint: <br /> TREATED TWO PEOPLE WHO SHOWED SYMPTOMS OF DIZZYNESS, NAUSA, HEAD— <br />ACHE, VOMITING AND CHEST DISCOMFORT WHILE WORKING NEAR A CANAL AT THE <br />EASTERN EDGE OF THE HOLLY SUGAR PLANT.(OUTSIDE OF PLANT) THE EMPLOYEE'S <br />DOCTOR DETERMINED THEY HAD A VIRAL SYNDROME. THEY ARE EMPLOYEE'S OF <br />CALIFORNIA HUMAN DEVELOPMENT CORP. HUMAN DEVELOPMENT CORP. MANAGER <br />/n iiu e L hlerNfi iv W- :r-:7- D S' 7 Srac k To A� 9% 6 34--3 <br />w <br />COMPLAINT Info — <br />COMPLAINT MODE: A AGENCY REFERRAL <br />A -Agency Referral 8-80 OF Supervisors/City Ccouncii C -Counter M-Mail/Correspondence <br />O -Other EH Unit P -Rhone ,J <br />COMPLAINT STATUS: <br />i <br />01 -Field Abated 02 -Office Abated 03 -NAI Sent 04 -Notice to Abate Issued 05 -Enforce ACT Initiated <br />06 -Transfer 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 0 if complaint in another PROGRAM jurisdiction, <br />Forwarded to UNIT: I II 61 <br />IV for Investigation <br />Have Complaint Record and P/E updated <br />a <br />