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DST: <br />1��. SHORT TERM RECOR12-10-1991 <br />D ��i3 <br />PROGRAM: DATE <br />,536,�l PACIF'C AVENLL <br />S l ,'; 't-. ':): (UNINCORPORATED CITY) STATUS= <br />PREMISE <br />DBA <br />OWNER / OPERATOR <br />ADDRESS <br />PHONE # <br /> <br /> # <br />ADDRESS <br />SHERWOOD MALL EATERY <br />TENANT PHONE # <br />- AT 6.00 P.M. ON 12/9/91 ATE AT THE MEXICAN FOOD <br />COMPLAINT STAND LOC :TED BETWEEN 'THE PIZZA: & CHINESE FOOD ST <br />RF ANDS - ATE A CHILIE RELLENO & RICE - 1/2 HR LATER <br />HAD DIARRHEA & 2 HRS LATER IT INCREASED - NO PHYSI <br />CIAN SEEN - STILL FEELS ILL - <br />NO. 912187 Atq <br />MAIL NAI <br />DATE BY <br />REFERRED TO: <br />DATE BY <br />ABATE NOTICE <br />DATE BY <br />TRANS / PREM. FILE <br />DATE L 2:� I <br />DATE ABATED <br />SUPERVISOR Z'' <br />