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Date run: 09/14/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 146104 <br /> Run by : SYLVIA Page # 5 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMA9MMMMMMMMMMMMMMMMMMMMMMMMMMMMMINMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # C0000691 Program/Element : 1626: ' ; <br /> Taken by : 6674 MAINE FAVILA Date: 09/14/93 Assigned to 0102 STEVE NINDT Date; 09/14!5:3 1/' ` <br /> Facility Name : _ Fac ID: <br /> BILL to invent-ried FACILIT'(: <br /> t <br /> Location: 1230 W KETTLEMAN LN LODI GNast have FACIITy iD#, <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : GEE WILIKERS Lac Code : 02 <br /> Address: 1230 W KETTLEMAN BOS Dist : 004 <br /> City : LODI 95240 APN # <br /> Phone : <br /> OWNER Info - BILLING Party: -------- <br /> Owner/Agent: ERNIE & DEANNA FREDERICO Home Phone: <br /> F Address : 1230 W KETTLEMAN Work Phone: <br /> City : LODI CA 95240 <br /> c Nature of Complaint: <br /> — ON 9/8/93 AT NOON ATE SALAD BAR — COLESLAW — TOMATOES' — RICE — CANTA <br /> LOPE — HONEYDEW & POTATOE SALAD — BECAME SICK AT 1•:00PM NAUSEA VOMITIN <br /> hr 441 <br /> or* <br /> 5 <br /> k <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PRONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence <br /> O-Other EN Unit P-Phone <br />{ COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate issued 06-Enforce ACT Initiated <br /> O6-Transfer to Premise File 07-R,efer to Other Agency 06-Not Valid 09-Foodborne Illness <br /> 5 <br /> Circle appropriate Unit iE if complaint in another PROGRAM jurisdiction, have Complaint Record and P/E updated <br /> Forwarded to UNIT; 1 11 !II IV far Investigation <br />