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Date run: 06/07/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by : MARYO10-0 Page # 2 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0006230 Program/Element : 1600 <br /> Taken by : 6519 CAROL DISA Date: 06/07/96 Assigned to : 0794 RAJU MATHEW Date: 06/07/96 <br /> Hard copy Printed: <br /> Facility Name: S.IGVALLEY,..,.,FOOD. Fac ID: 001895- . - , <br /> BILL to inventoried FACILITY: <br /> Location: 1832.,....;..._MT,,....D-I_ABLO (Must have FACILITY ID#) <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: BIG....VALLEY,..,_FOOD.,-„-................_.........:.._ ..Loc Code <br /> Address' 1832-._....._MT_..-DI_ABLO.................._.....I---------------— --- ----- -----._._.------------ SOS Dist : <br /> City: 512CKTON 95203 APN # <br /> Phone: 209-465-3100 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: LI-N.z._._TSE .._ <br /> ,_,. _-C . „ _ <br /> HOW.,._....WONGCEN.xCH,IN,_.-.,.,_:.......... ...-.Home Phone: <br /> Address: 1832...._-,..MT DI t . ._._._...._-. -.....---- Work Phone: <br /> City: STOCKTON CA 95203 <br /> ................................_...... _.......- <br /> Nature of <br /> .Complaint: <br /> VERYE BAD CONDITIONS IN MEAT DEPT FLIES ALL OVER MEAT AREA WHERE MEAT <br /> IS CUT BUTCHER IS VERY UNCLEANED . <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: ..-. . <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice ssued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency - of 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: QI II III IV for Investigation <br />