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iin 0.7,11,Fa/G AQUIN COUNTY PIJFtL IC HEALTH SERVIC <br /> fit�.�n hy;� c�AROLDI(,� Report X5104 <br /> bony # 01 of 01. COMPI...ATNT INVFSTT(-,ATION REPORT Page 2 <br /> COMPLAINT # : C0008614 Program/E=lement ' 1600 <br /> Taken by : 6519 CAROL DISA Date: 07/16/97 Assigned to : 0001 LINDA TURKATTE Date: 07/16/97 <br /> Hard copy Printed: <br /> Farilltv Namp : IF, .IPFRSAVF MARKE..T Fac TD: 002.381 <br /> ............ __ _._....... <br /> BILL to inventoried FACILITY: <br /> Location: 3g Ia rHARTFR WAY (Must have FACILITY ID!) <br /> Complainant : K F N WISE Home Phone: 209-469-9081 <br /> - <br /> Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> F)BA or Name: r,IJPFPc,,AVF MARKET Loc Code : 01 <br /> Address : 39 W CHARTER I...1AY POS Dist : <br /> City : STOCK TnN 0520or, APN # <br /> Phone : 209-464--8295 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: CHEN , .WII_L._IAM Z_I.. MING WU ETC Home Phone : 209-464-761.0 <br /> Address : 39 W CHARTER WAY Work Phone: 209-464-7610 <br /> City : STOCKTON CA 95206 <br /> Nature of Complaint: <br /> BOUGHT PORK STOMACH . IT WAS ROTTEN TOOK BACK BUT MANAGER WOULD NOT <br /> GIVE BACK MONEY . <br /> 1 <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Athar FN Unit P-Phone <br /> COMPLAINT STATUS: G(P <br /> O1-Field A - Abated O3-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> ansfor to Premise File 07-Refer to Other Agency O8-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent b,/ nate' <br /> Circle appropriate Unit t if complaint in another PROGRAM iurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q IT III TV for Investigation <br />