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Rt.tn by :' SYLVIA Page ## 4 `F <br /> Copy # : 01 of 01 COM" AINT INVESTIGATION REPORT <br /> COMPLgiNT # C0001660 Program/Element : 1626 <br /> "fallen by : 6976 AL OLSEN Date: 04/06/94 Assioned to : 0102 STEVE HINDT Date: 04/06/94 <br /> Faci1ii;v blame: MARIE CALLENIDER PIE SHOP #87 Fac ID: 002011 <br /> BILL to inventoried FACILITY: <br /> Location: 2628 W MARCH LANE Must have FACILITY ID#) <br /> Complainant : <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : MARIE CALENDARS__ — Loc Code : 01 <br /> Address : 2628 W_ MARCH LANE ---. POS Dist : 002 <br /> City : STOCKTON 95207 APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name . MARIE CALLENDAR PIE SHOPS _Home Phone : <br /> Address : _ _ ----Work Phone : <br /> City e - -,-„ <br /> Nature of Complaint: <br /> - ON 4/5/94 THE HERRERA FAMILY PURCHASED ALFREDO SAUCE AT MARIE CALEND <br /> AR AT 6PM 3 DAUGHTERS ATE ALFREDO SAUCE W/EGG NOODLES - THE AVERAGE <br /> INCUBATION TIME WAS 7 HOURS - SYSTEMS - VOMITING, CRAMPS, NAUSEA AND DIAH <br /> RREA - ON 4/6/94 MRS HERRERA ATE 2 LARGE SPOONFULS OF ALFREDO SAUCE SHE R <br /> ECAME ILL 2 HOURS LATER - <br /> COMPLAINT Info - <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Hail/Correspondence <br /> €1-Other Eli Unit P-Phone <br /> COMPLAINT STATUS: db <br /> 61-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 l# if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 11 111 IV for Investigation <br /> .�_ — ..— ,....��.—. .. ....� _ _ .._ .._ �,. __' - =-_:__.—... ...-. —� — �-xn�s..0-,r.--t �.ice-s_-z.r•�,.�r.J._._�. -� <br />