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Date run: 02'/04/97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run. by : CAROLD� Page # 2 <br /> Ccipy # = : '01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0007618 Program/Element : 400A1 <br /> Taken by : 3304 KAREN ARMSTRONG Date: 02/03/97 Assigned to : 9157 MARK BARCELL05 Date: 02/03/97 j <br /> Hard copy Printed: <br /> Facility Name : SUPERSAVE....MARKET. Fac ID: 002381_ <br /> BILL to inventoried FACILITY: <br /> Location: 39._....................W....._CHARTER WAY. (Must have FACILITY I00) <br /> Complainant: PAULI,NE......JUA.REZ. ............... ......... ......... Home Phone= 209-942-0224 <br /> Address= Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name : SUPERSAVEMARKET................ <br /> ........ .._....... <br /> ... <br /> . ......... <br /> ............................ ...................Loc Code : 0.1.. <br /> Address: 39 W. CHARTER._..WAY......... ...................... ,_.,._.................._......................... ...._. _BOS Dist : <br /> City: STOCKTON 95206 APN # <br /> ............... .""' __.._" <br /> Phony: : 209-464-8295 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name= CHEN..�..._._W.I_LL_LAM.. Z_1......MIN'G.....WU...._ETG........_.. Home Phone: 209-464-7610 <br /> Address. 39.......... W._..,CHARTER..._WAY...,..... ............... Work.........................._Wor k Phone- <br /> City : STOCKTON, CA. 95206 <br /> Nature of Complaint: <br /> VECTOR PROBLEM COCKROACHES ON SCALE IN MEAT AREA . PRODUCTS OPENED <br /> AND PUT BACK . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Hail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: _0.,.� <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notic Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise File 07-Refer to Other Agency 8-Not Vaiid D9-Foodborne Illness <br /> 4 <br /> Circle appropriate Unit A if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: II III IV for Investigation <br /> �_- <br />