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Date run: 08/12/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> -"Runt by ROSEMARY Page # 4 ' . <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # : C0OOO465 Program/Element : 1600 <br /> Taken,,by : 0519 ROSEMARY FLORES Date: 08/12/93 Assigned to :ZR Date: 08/12/93 <br /> Facility Name: CALIFORNIA GOURMET DELI Fac ID: 004736 <br /> BILL to inventoried FACILITY: <br /> Location. 620 S CENTRAL AVE (Must have FACILITY ID$) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: CALIFORNIA GOURMET DELI Loc Code : 02 t <br /> Address: 620 S CENTRAL AVE BOS Dist : 004 <br /> City: LODI 95240 APN # ;- <br /> Phone: 209-333-0660 <br /> OWNER Info — BILLING Party: _ —_.— <br /> Owner/Agent: CALIFORNIA GOURMET DELI Home Phone: <br /> Address: 620 S CENTRAL AVE Work Phone: <br /> City : LODI CA 95240 <br /> Nature of Complaint: <br /> HORRID SMELL COMING FROM FACILITY — ROACHES ARE ALSO COMING FROM SITE <br /> TO THE COMPLAIANANT ' S HOME — SHE CAN 'T GET RID OF THEM — <br /> COMPLAINT Info -- <br /> COMPLAINT MODE: <br /> A-Agency Referral B-BD Of Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sett 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 08-Transfer to Premise File 07-Refer to Other Agency 08-Hat Valid 09-foodborne Illness <br /> r <br /> Circle appropriate Unit ! if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation. <br /> r <br /> i <br /> i <br />