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Date run: 03/02/95 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run day SHELLY C�l� Page # S <br /> Copy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0003409 Program/Element = 1600 <br /> Taken by : 2115 CAROLINE NASCIMENTO Date: 03/02/95 Assigned to Date: 03/02/95 <br /> Hard copy Printed: <br /> Facility Name : PRPACITO. MEY7CA1..­GRT UL. _-E3PR Fac TIO: n020�34 <br /> BILL to inventoried FACILITY: <br /> Location: 29 E MARCH LANE STOCKTON , (Must have FACILITY ID#) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: PAPACITQ MEXICAN E3AR& GRILL Loc Cade : 01 <br /> Address: 29 E MARCH LANE? BOS Dist : <br /> _._._....__.._...._...................._......_.................:....................................................................._....._............_......_._.............._.._...._................ <br /> City: STOCKTON APN <br /> Phone: #t : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name . TARSEEMI. 5HA.RMA Home Phone : <br /> Address: Work Phone : <br /> ... <br /> .. ... .............._............ . <br /> City ......... <br /> Nature of Complaint <br /> BOTH MS , SPENCER AND HER HUSBAND HAD REQ—FRIED BEANS AND FAITA MEAT <br /> MS . SPENCE=R HAD SALSA BOTH GOT SICK THE SAME= NIGHT WENT TO THE DOCTOR <br /> CRAMPING ALL NIGHT PREVIOUS COMPLAINT it3239 <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> .................. <br /> A-Agency Referral B-BD OF Supervisors/City CCOunCil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: (y <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Tssued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise file 07-Refer to Other Agency 03-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I� II 111 IV for Investigation <br />