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(gat-e ru.n : 04,'.Z1z,' ).' SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by = KAREN hcA Page # 7 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLINT # = C0008072 Program/Element. : 1600 64-11Taken by 3304 KAREN ARMSTRONG Date: 04/22/97 Assigned to : 5756 ERNESTO JACOBO Date: 04/22/97 <br /> Hard copy Printed: <br /> Facility Name: BOYETT._._PETROLEUM. Fac ID: 003685_ <br /> BILL to inventoried FACILITY: <br /> Location- 41C? c, . MAIN MANTECA (Must have FACILITY ID#) <br /> complainant : ANUNYMGU.` Home Phone: <br /> Address: Work Phone : <br /> FACILITY LOCATION/Property Info - <br /> DRA or Name: Loc Code : <br /> Address: BBS Dist : <br /> City : APN # <br /> Phone <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: Home Phone: <br /> Address: Work Phone: <br /> City : <br /> Nature of Complaint: <br /> The food in the gas station deli was rotten , and there were no <br /> experation dates on the food . The complainant ordered a turkey sub , <br /> made by Als ' Foods in Ceres CA , and the sandwich contained spoiled meat . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil r-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: * <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> O6-Tr o Premise Fi a 07-Refer to Other Agency OB-Not Valid 09-Foodborne Illness <br /> Sen Referral Letter to: <br /> Address= <br /> Referral Letter Sent by _.. _ Date : <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: IO II III IV for Investigation, <br />