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Public Works Dept <br />...O Rsvieyed by: <br /> Date: �/ f <br /> :Complaint Record Updated By: Date: <br /> ,Revised Report 05104 7/8/93 <br /> Date run: 12/01/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 115104 �r�r <br /> Run by : SYLVIA Page # <br /> g / <br /> copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> � M�MMMM�lMh0�1MMhA�IMMMMI�IMMMMMMMMMMMMMAO�fMMMMMMAO�lMMM <br /> COMPLAINT s : CO0O1112 Program/Element 1600 <br /> 'Taken by 7354 SYLVIA MARTINEZ Date: 12/01/93 Assigned to 0102 STEVE MINOT Date: 12/01/93 <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> ;Location: 1067 C SF GALT (Must have FACILITY 100) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Proporty Info - <br /> DSA or Name: HUNAN HOUSE Loc Code : 99 <br /> Address. 1.00T"C St--ST£. 134 SOS Dist 004 <br /> City: GALT 95832 APN 0 <br /> Pho <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name; Home Phone: <br /> Address: Work Phone: <br /> City: <br /> Nature of Complaint: <br /> - ATE BEEF CHOW MEIN - SICK WITH BLOODY STOOLS TOOK TO THE <br /> DOCTOR - TESTED - OR SAYS SHE WAS BEVERLY FOOD POISONED (STAFFORIA) - <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> .A-Agency Referral 6-SD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Vi <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 />