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1 1-1= Furl. vatz tP4 UAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC It5104 <br /> Report' Rulk by SYLVIA Page t 1 <br /> y : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> �'�' 1�1A/MMAIMMMMMMMAfMAfl�IMMMMMMAA►l�IMMMMAfMMMMMMMMMMMMMMhIaIMMMMMMMMAIAIMMMP�IMH!►l4�lMMMM4Fl�! <br /> :COMPLAINT 0 : C0001592 Program/Element : 1600 <br /> ` Taken by : 7354 SYLVIA MARTINEZ Date: 03/22/94 Assigned to : 0102 VE 14INOT Date: 03/22/94 <br /> Facility Name: WENDYS Fac ID: 000522 <br /> BILL to inventoried FACILITY: <br /> Location: B01 E KETTLEMAN (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: WENDY'S Loc Code 02 <br /> Address: 801 E KETTLEMAN SOS Dist : 004 <br /> City: LODI 95240 APH 0 <br /> Phone: 209-368-6202 <br /> BILLING RESPONSIBLE PARTY or OMMER Info <br /> Name: WENDY'S Home Phone: <br /> Address: 801 E KETTLEMAN Work Phone: 209-368-6202. <br /> City: LODI CA 95240 <br /> Nature of Complaint: <br /> BOUGHT 4 FROSTIES AND BACK OF THROAT BECAME NUMB WHILE EATING THESE- <br /> MADE HER PARENTS ILL - <br /> COMPLAINT Info <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-80 OF Supervisors/City Ccauncil C-Counter M-Mail/Correspondence <br /> O-Other EN Unit P-Phone <br /> COMPLAINT STATUS: �l <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-Mot Valid 09-Foodborne Illness <br /> cs <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 /> k ' <br />