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Date run : 07/11/95 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by CARLf-W Page # 17 <br /> Copy # h 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0004177 Program/Element : 1500 <br /> Taken by : 9051 MARY OSULLIVAN Date: 07/07/95 Assigned to 0194 T97TIMI d pate: 07107/95 <br /> Hard copy Printed: <br /> Facility Name : Fac ICI : <br /> .'l z 01 BILL to inventoried FACILITY; <br /> Location: ROUND TABLE PIZZA— BEN HOLT (Must have FACILITY I0#) <br /> Complainant : JENNIFER Home Phone : 209--951--5639 <br /> Address : Work Phone.: <br /> FACILITY LOCATION/Property Info — <br /> DBA or !'lame : Loc Code <br /> Address : BOS Dist <br /> City : _ APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- <br /> Name : Home Phone : <br /> Address : Work Phone : <br /> City : _ <br /> Mature of Complaint: <br /> ROACHES — TUEwS . THE ATH — ROACHES RAN OUT OF PIZZA . <br /> COMPLAINT Info <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City C'council C-Counter N-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> GCOMPLAINT STATUS: <br /> Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 05- ransfer to Premise File 07-Refer to Other Agency 00-Not Valid 09-Foodborne Illness' <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> F <br /> Forwarded to UNIT: II III IV for Investiqation <br />