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s <br /> � €nrubY07/20RUSERAM COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> CaPy # 01 of 01 . COMPLAINT INVESTIGATION REPORT Page # 1 <br /> �fI +1IMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM�►fMMMMMMMMMMMMMMMMMMMM <br /> Taken by 0519 ROSEMARY FLORES 3 Dfiate; 07/20/93 Assigned to P rateeg:r09�2Q 93 event 4� <br /> Facility Name : J A DELI Fac ID: 002436 <br /> BILL to inveDtoried FACILITY: <br /> Location: 445 E ACACIA (Rust have FACILITY ID#) <br /> i Complainant : <br /> : <br /> FACILITY LOCATION/Property Info .— <br /> DBA or Name : Loc Code : 01 <br /> Address : <br /> City: � � � $OS Dist , <br /> Phone : APN # <br /> OWNER Info - <br /> Owner/Agent : Home Phone : BILLING Party: <br /> Address: Work Phone: <br /> City: _ <br /> Nature of Complaint: <br /> TAMALES FLOATING IN WATER WITH DEAD FLIES IN THE DELI CASE — BURRIT <br /> OS HAVE NO DATE ON THEM — WHOLE DELI CASE FILTHY <br /> f <br /> COMPLAINT Info — f <br /> CORPLAINT NODE: P PHONE <br /> A-Agency Re.fe,rral B-BD OF Supervisors1City Ccouncil C-Counter R-Rail/Correspondence , <br /> 0-Other EH Unit P-Phone, <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued . 05-Enforce ACT initiated <br /> 05-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> f <br /> Circle appropriate Unit I if complaint in another PROGRAH jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 II III IV for Investigation <br />