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Date run: 05/11/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC p r /S <br /> Run. by CAROLINE opo.t tr5104 i <br /> Copy 01 of 01Paso # 5 <br /> COMPLAINT. INVESTIGATION REPORT <br /> MMMMMMMMMAf.MMMMMMM.MMrdMMMMAf.AfMIdMMMMMMM.AfMMMM.MM.MM.Af.M.tifMM..AfMAfMAft4A4'f tfMM.M.MMMAfM..tit.MM. <br /> COMhf.MMMM.AFr!M <br /> COMPLAINT # : CO0O1845 <br /> Taken by 2 Program/Element 1500 <br /> 115 CAROLINE NASCIMENTO Date: 05111194 <br /> Assigned to 7479 RON ROWS Date: 05!11/94 <br /> Facility Name: SAFEWAY STORES #1264 Fac ID: 002980 <br /> Location, 1950 W 11TH ST BILL to inventoried FACILITY: <br /> (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Loc Cade <br /> Address: SOS Dist <br /> City: _ APN 0 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: Home Phone: <br /> Address: Work Phone' <br /> City: _ <br /> Nature of Complaint: <br /> CONCERN RE:EMPLOYEE(MICHELE)W/CONTAGIOUS DISEASE ON HANDS/SHE WORKS IN <br /> BAKERY 6 PACKAGES GOODS\OPEN SORES;BAND-AIDS ON HANDS A: SHE DOES NOT <br /> WEAR GLOVES-SHE HAS BEEN EMPLOYED SINCE STORE OPENED-INSPECTOR WAS THERE <br /> ON 5/10/94;(SHE WAS NOT WORKING)ALSO LEAVES @2:50/THEY HAVE "CONCERN" RE: <br /> THIS EMPLOYEE. .. <br /> COMPLAINT Info - <br /> COMPLAINT MODE: p PHONE <br /> A-Agency Referral B-SD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: OI <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-Net Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />