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Date run: 11/18/93 SAN JOAQUI14 COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> R`�n by : CAROLINE Page # 1 <br /> �opy`�' 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> 1 fMhlF7MMPAMHIMMMIfIdMlfllMMh4Ml4f 4F1MA4A4FdMMhIMh4l4I4MM/dl4MMMMMMM1,fMMllMMb411F1MI4MIAhfI lMtdldMMl4MMMMMrdMMl9MhlM <br /> COMPLAINT 0 : G0001067 Program/Element 1600 <br /> Taken by : 2115 CAROLINE NASCIWENTO Date: 11/18/92 Assigned to : 0102 ;AIttDT 11/92 <br /> Facility flame; FOOD 4 LESS Fac ID; 001992 <br /> BILL to inventoried FACILITY: <br /> Location: 255 E MARCH LN (Must have FACILITY IDIQ <br /> Complainant: , <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Food for Less Loc Code : 01 <br /> Address: 255 E March BOS Dist <br /> City: Stockton 95207 APN # <br /> Phone; 209-957-4917 <br /> BILLING RESPONSIBLE PASTY or OWNER Info - <br /> Name; ' Dodie Inc. Home Phone: <br /> Address: 255 E March Lane Work Phone: 209-957-4917 <br /> City: Stockton CA 95207 <br /> Nature of Complaint: <br /> fight Grnd lean turkey & grnd lean beef on 11/14/93-cooked meatloaf on <br /> 11/'17/S3-she & 2 other family members became ill-upset stomach only- <br /> Complaihtant stated she becomes ill if she eats pork-which is how she <br /> felt-children were sick also-pork does not gather them- <br /> 4 <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> -A-Agency Referral B-80 OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone , <br /> COMPLAINT STATUS; <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 /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I IS III IV for Investigation <br />