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f ! <br /> Date run : 09/08/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report X5104 <br /> Run by : CAROLINE Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT l <br /> COMPLAINT # C000254B Program/Element : 16100 <br /> Taken by : 3656 SANDRA DAYFLUY Date: 89/08194 Assigned to . 7479 RON ROW Date: 09/08/94 <br /> j Facility Name : Fac ID: <br />( BILL to inventoried FACiLM* <br /> I <br /> Location: 108-_E ELEVENTH (Nest have FACILITY ID#) � <br /> - I <br /> I <br /> Complainant ; <br /> <br /> , <br /> FACILITY LOCATION/Property Info — <br /> I <br /> µ DBA or Name: BEN' S BURGERS Lac Cade : 03 <br /> Address : 108 E ELEVENTH BOG Dist : 005 � <br /> I <br /> City ; TRACY AP'N # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Home Phone : <br /> Address : _ _ Work Phone : <br /> i Nature of Complaint: <br /> REPORTED GREASE FIDE @ 106 E EL.EVENTH/ALAN B. RESPONDED, CALLED-- <br /> **CANNOT LOCATE FACILITY FILE bN THIS PREMISE 1 <br /> I i <br /> I ! <br /> ! <br /> I ' <br /> I <br /> C � I <br />� I <br /> f <br /> COMPLAINT Info — 1 <br /> EMAINT KWE: E PROM <br /> A-Agency Referral B-BD OF Supervisors/City Ccoupcil `C-Counter M-Nail/Correspondence <br /> f O-other EH Unit . P-Phone <br /> f C1LAINT STATICS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> j %-Transfer to Premise File 07-Refer to other Agency 08-Not Valid 09-Foodborne Illness <br /> I <br /> I <br /> I <br />� I <br /> I I <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdictions Have Complaint Record and PIE updated. I <br /> Forwarded to MIT: I II III IV - for Investigation � <br />� 1 <br />