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J : , 14/ SAN JOAOI,' d COUNTY PUBLT7 WEALTH SERVTC Report 85104 <br /> Run by : CAROLD Page # 4 <br /> Copy # : 01 of 0�f COMPLAINT. INVESTIGATION REPORT <br /> COMPLAINT # C0012418 Program/Elernent : 1633 <br /> Taken by : 7829 GAGAZA Date: 06/14/99 Assigned to : 079f 441 4 Date: 06/14/99 <br /> Hard copy Printed: ., <br /> Facility Name : MOCHA ME CRAZY 42 Fac ID: 012029 <br /> BILL to inventoried FACILITY: <br /> Location: 1616 E MARCH LN (Must have FACILITY ID#) <br /> ComplainanL = <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : MOCHA ME CRAZY #2 Loc Code : 01 <br /> Address : 1616 E MARCH LN BOS Dist. <br /> City STOCKTON 95207 APN <br /> Phone : 209- 915,1341 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: THE HAPPY BEAN EXPRESSO INC <br /> <br /> <br /> Nature of Complaint: <br /> COFFEE CART , KEEPING MILK IN ICE CHEST WITH NO ICE OR ABILITY TO KEEP <br /> COLD . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: N <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 /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : __. T _ Date : _ <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P;E updated <br /> Forwarded tc 'dNI7: © II III 1V for Investigation <br />