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Date run: 02/19/97 SAN JOAQUIN COUNTY PUBLIC HEALTH 5ERVIC e <br /> p <br /> os # T <br /> Run by = CAROLDIW Page <br /> Copy # :. 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0007713 Program Element : 7/971�JT, <br /> Taken b <br /> y : 0008 LETITIA BRIGGS Date: 02/19/91 Assigned to : 9157 MARK"10 ELLOS Date: 0211Hard copy Printed: 2 <br /> Facility Name: SUPERSAVE_,.na!! E"f Fac ID: 0.02 -81 BILL to inventoried FACILITY: <br /> Location: 39_.........._...,.._W....._G H AR T_ER_.__WAY. <br /> (Must have FACILITY IO#) <br /> Complainant= Home Phone: 209-944-9502 <br /> DAV. D..._T SRM I N I X_._„�N7_�.......__..._.._.__...__..............._.............__._._. . <br /> Address' Work Phone: <br /> FACILITY LOCATION/Property Info - <br /> DBAor Name: SUPESAVE•„ MARKET ._..........,.-_...._.-._-._...............................---...._._._.._...._..._................................._..-Loc Cade : 01S <br /> 39.--......-.....: !_CHARTER_._WAY,._._._.__._..............._..___...-_._....___.....--. -__.__...---......__....._-..._BOS Dist : <br /> Address: <br /> City: STOCK1gN 95206 APN # : <br /> Phone: 209-464-8295 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: Dome Phone: 209--�4b4--7610 <br /> CHEN.., _WILL I,AMr_Z.�......M.I_ry3__.WU...._E C,.._......._......._..........._._.............. <br /> Address= Work Phone: <br /> 39..__.._ _..._W_..-GHARTR..,._WRY....._.__....----_._-....__.._._......_..._.___�....__._....-...__.__ <br /> City: 570CNT,ON CA 95246 <br /> Nature of Complaint: <br /> MEAT DEPT & STORAGE AREAS DIRTY AND UNKEPT . <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P........... <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: C_ . <br /> 01-Field Abated 02- bated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> ransfer t vise File 7-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q 11 III IV for Investigation <br />