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Date run: 08/17/99 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICReport #5104 <br /> Run by : DENORA Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMNM <br /> COMPLAINT # C0012822 Program/Element : ON <br /> Taken by : 7829 LAGAN Date: 08/17/99 Assigned to : 0794 MATRIN Date: 08/17/99 W6 <br /> Hard copy Printed: 08/17/99 aces n- <br /> Facility Name : CARN.ICERIA,_,CALIFORNI1.A DELI Fac ID 0051989 <br /> BILL to inventoried FACILITY: <br /> Location: 620 S CENTRAL AVE (Must have FACILITY ID#) <br /> Complainant : ANA _ Home Phone : <br /> Address _ _.. ..Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: CARN.I.CERIA_CALIFORNIA DELI Loc Code : 02 <br /> Address: 620 S_._CENTRAL AVEBOS Dist : 004 <br /> City : LOD,I 95240 APN # <br /> Phone : 209-339--1914 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: MURGUTA,, ANTONIO _ Home Phone : 209-339-1567 <br /> Address : 1,131 ,. S._._PLEASANT AVE Work Phone: 209-339-1914 <br /> City : LODI CA 95240 <br /> Nature of Complaint: <br /> MEAT INSIDE DELI SMELLS BAD , ODOR CAN BE SMELLED FROM THE FRONT DOOR <br /> r <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <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: v <br /> 01-field Abated 02-Office Abated 03-NAI Sent 04-No�to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency OB of valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent bye Date : ,��, <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT I II III IV for Investigation <br />