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R" a ,.run: 08/06/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC RPea�e� 5#0� 9 <br /> Run by : ROSEMARY <br /> Copy` # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> HlMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMI�lMMMMMMMMMMMMMMMMMMMMMMMMM P <br /> COMPLAINT- # : CO000426 Program/Element : 3527 <br /> Taken by : 0843 MICHAEL COLLINS Date: 08/06/93 Assigned to :M q),Date: 08/O6/93 <br /> Facility Name: SP FOOD SHOP Fac ID: 001146 BILL to inventoried FACILITY: <br /> Location: 10878 N HWY 99 (Mast have FACILITY IW <br /> Complainant: <br /> <br /> J <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: BP FOOD SHOP Loc Code : 01 <br /> Address: 10678 N HWY 99 BOS Dist OQi <br /> City: STOCKTON 95212 APN # <br /> Phone: 209-334-3845 <br /> BILLING Party: <br /> OWNER Info - <br /> Owner/Agent: BAGLEY ENTERPRISES INC Wore Phone: <br /> Address: 1105 WEIDELBERG WAY Work Phone: <br /> City: LODI CA 95242, <br /> Nature of Complaint: <br /> SOIL TRANSFERRED ACROS10880SNTHE HWYS99FET IS IS OWNERNOPERATORpPHNIS THIS# ( 209 )L931- 6169 <br /> KURT A. KAUTZ O <br /> e <br /> 4 <br /> COMPLAINT Info - <br /> COMPLAINT MODE: <br /> ' A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH knit P-Phone <br /> COMPLAINT STAIUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent ' 44-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not.Yalid 09-Foodborne Illness <br /> R � <br /> Circle appropriate Unft # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IY for Investigation <br />