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i <br /> s <br /># Dante rttn : 09/O2/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SEF?VIC Report #5104 � <br /> Rijn by : CAROLINE Page # 4 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT � <br /> COMPLAINT 1# C0002519 Program/Element : 16400 I <br /> Taken by 2115 CARIILINE NASCIMWO Date: 09102/94 Assigned to : @.369 ALAN AIEDERMM Date: 09/62194 I <br /> f 1 <br /> Fac^i 1 i t y Nam e n SUPERSAVE MARKET Fac ID: 0023811 4 <br /> I BILL to inventoried FACILITY: p <br /> Location: 39 W CHARTER WAY (NuSt have FACILITY IDI � <br /> Complainant : DE=BORAH__. Home Phone: 209-925--7192 <br /> I <br /> Address : Worm Phone .,: <br /> i <br /> FACILITY LOCATION/Property Info - ! <br /> i I <br />' DBA or Name: SUPERSAVE - Loc Code : 01 1 <br /> Address : 39 W CHARTER BOS Dist : X02 <br /> I <br /> City -. STOQC TON 95206 APN # : I <br /> I Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- I <br /> Name : LEUNG, SIU AND CHI LEE —Home 'hone: � <br /> I <br /> Address: U9 W CHARTER Work Phones 209-464-8295 <br /> City : STTOCKTON CA <br /> I Nature of Complaint: <br /> 4 PURCHASED MEAT @ SUFIERSAVE -- MEAT WAS FROZEN -- AS IT THAWED OUT, TURNED <br /> "GREEN" -- SOMETIMES THE MCAT IS "GREEN" IN THE MEAT CASE - I <br /> I <br /> f ' <br /> I <br /> I <br /> I <br /> I i <br /> r <br /> i COMPLA I IVT Info - <br /> I I <br /> CXXAINT KODEc P PNONE <br /> "gency Referral B-BD OF Supervisors/City Ccouncil C-Counter N-MaiI/Correspondence I <br /> 4-Other EN Unit P-Phone <br /> CO PLAINT STATUS: S <br /> 1 <br /> 01-Field Abated IP-Office Abated 03-NAI Sent 04-Notice to Abate Issued ffi4 sforce ACT Initiated j <br /> 06-Transfer to Premise File 07-Refer to Other Agency W-Not Valid 09400dborne Illness i <br /> I I <br /> I <br /> I <br /> I E <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated i <br /> I Forwarded to UNIT: I II III IV. for Investigation <br /> I j <br /> I � <br /> I i <br />