Laserfiche WebLink
„,,Date run: 08/16/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> ' Fkun­�by ROSEMARY Page # <br /> COPY-4--;' : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMJMM IMMMMMMM <br /> COMPLAINT # COOOO483 Program/Element 1614 <br /> ” Taken by : 8674 JAIME FAVILA Date: 08/16/93 Assigned to : Date: 08/16193 , <br /> Facility Name: COSTCO Fac ID: 001705 <br /> BILL to inventoried FACILITY: <br /> Location: 1616 E HAMMER LN (Must have FACILITY ID4) ' <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: COSTCO Loc Code 01 <br /> Address: 1616 E HAMMER LN BOS Dist 002 <br /> City: STOCKTON 95210 APN # <br /> Phone: 209-478-2040 <br /> OWNER Info — BILLING Party: <br /> Owner/Agent: COSTCO WHOLESALE CORPORATION Home Phone: <br /> .Address: 1616 E HAMMER LN Work Phone: <br /> City : STOCKTON CA 95210 <br /> Nature of Complaint: <br /> MINE OUT OF ELEVEN PERSONS BECAME ILL AFTER EATING CHICKEN CORDOd BLUE <br /> PURCHASED AT COSTCO — <br /> t <br /> Y1 <br /> 0 <br /> It) <br /> /_,�W..,/ A <br /> COMPLAINT Info — <br /> 5 <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Ot4er 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 /> Y <br /> URG,ENT <br /> i <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />