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D&te run: 09/27/93 SAN JOAQUIN COUNTY- PUBLIC HEALTH SERV:IC keArt 16104 <br /> Run' by SYLVIA agF # 3 <br /> Copy 7 01 of 01 COMPLAINT INVESTIGATION REPORT ' <br /> MMMMMMMMMMrfMMMMMMfMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM 1�fM MMMMMMMMMMMMMMMttiiMM <br /> COMPLAINT # C0000766 Program/Eleni xt 1626 <br /> Taken by : 8674- JAIME FAVILA Date: 09/27/93 Assigned tc Date: 09/2+/93 <br /> Facility Name : _. Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 2628 W MARCH LN STKN (Must have FACILITY IDfl <br /> 4 <br /> Complainant : <br /> <br /> FACILITY LOCATION/'Property Info <br /> DBA or Name : ' MARIE CALLENDER Lac Code 01 <br /> Address: 2628 W MARCH LN BOS Dist : 001 <br /> City: STOCKTON 95207 APN <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> r Name : MARIE CALLENDER Home Phone : <br /> Address : 2628 W MARCH LN Work Phone : <br /> City : STOCKTON CA 95207 <br /> Nature of Complaint: <br /> — ATE TURKEY POT PIES ON THURSDAY @ 6 : 30 AM — BECAME ILL ON FRIDAY AFT <br /> ERNOON ABOUT 4 : OOPM WITH DIARRHEA — <br /> t <br /> e <br /> COMPLAINT Info — <br /> COMPLAINT MODE: O OTHER FH UNIT <br /> is <br /> A.-Agency Referrai B-BD OF Supervisors/City Gcouncil C-Counter 9-Kai;E/Correspondence <br /> O-Other EB Unit P-Phone <br /> n / <br /> COMPLAINI' TATUS: [J b ' <br />¢ <br /> ht'-f ield Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate isned 06-Enforce ACT Initiated <br /> 06-Transfer to Precise File' OT-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> k <br /> F <br /> Fp <br /> I <br /> M Circle appropriate Unit f if complaint in another PROGRAM jurisdiction, Nave Complaint Record and P/E updated <br /> Forwarded to UNI',.': I IT, III IV for Investigation <br />