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Date run : 09/20/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICet:ar <br /> t Ix6104 <br /> Run 'by : SYLVIA ��v Page,# 1 <br />! Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT ! <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # C0000720 Program/Element 1600 <br />' Taken ty : 0998 KASE`f-FOLEY Data: 09/20193 Assigned to :�� Date: 09/20/93 <br /> Facility Name : PAK N SAVE MARKET Fac ID: 001200 <br />' 5ILL!Must have FACILITY IDI to oiventoried FACILITY: <br /> Location: 1120 E HAMMER LN <br /> Complainant : <br /> <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : PAK N SAVE Loc Code : 01 <br /> Address : 1120 E HAMMER LN B05 Dist : 001 <br /> z City : STOCKTON 95207 APN # <br /> Phone : <br /> 4 <br /> OWNER Info — HTLLING Party: _ <br /> Owner/Agent: SAFEWAY Home Phone : -----__ <br /> Address : 47400 KATO RD Work Phone: ti <br /> City : FREMONT CA 94538 <br /> Nature of Complaint: <br /> "BAD CHICKEN" SET OUT FOR SALE — KF RESPONDED — <br /> k <br />{ <br /> I, <br /> f <br /> C <br /> 1 <br /> 4 COMPLAINT Info — <br /> COMPLAINT MODE: 0 OTHER Ell UNIT <br /> I <br /> 4 A-Agency Referral 6-DD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondenca <br /> O-Other EH Unit P-Phone M <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office abated 03-NAT sent €34-Notice to Abate issued 08-Enforce ACT Initiated <br /> lis-Transfer to Premise File 07-Refer to Other Agency OE-Not Valid 09-Foodborne Illness <br /> f <br /> 3 <br /> Circle appropriate Unit $ if complaint ?n another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> '� Forwarded to UNIT: 1 II 111 TV for invest-nation <br />