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vat,.e run 05 /25/9 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> OL <br /> Run by : CARDI Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0012314 Program/Element : 1617 <br /> Taken by ' 7829 GAGAZA Date: 05/24/99 Assigned to Date: 05/25/99 <br /> Hard copy Printed: <br /> Facility Name ' SUPERSAVE....MARKET Fac ID : 002381 <br /> BILL to inventoried FACILITY: <br /> Location: W CHARTER WAY (Must have FACILITY ID#) <br /> Complainant HILDA VASQUEZ.,._.... Home Phone : 209-468-2828 <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : SUPERSAVE MARKET,-.,,..__.,_ Loc Code 7 01 <br /> Address : 39 W CHARTER WAY BOS Dist : <br /> ._..........--1.1.1-1.................- .. ........_ ............... ....._. ......... .......... <br /> City : STOCKTON 95206 APN # <br /> Phone : 209-464-8295 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name ` CHEN , WILLIAM_;_ZI MING. WU..,,ETC Home Phone : 209-464 -7610 <br /> Address : 39 W CHARTER WAY Work Phcne : 209-464-7610 <br /> City STOCKTON CA 95206 <br /> Nature of Complaint. <br /> MEAT IH DELI CASE IS SPOILED AND GREEN - COCKROACHES IN CASE , USING <br /> HANDS TO GET GROUND MEAT THEN GETS COOKED MEATS WITHOUT WASHING HANDS . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> ................ <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: „ <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent. by : Date: <br /> Circle appropriate Unit # if compllaaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> in <br /> Forwarded to UNIT: / t/ II III Iv for Investigation <br />