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tcevisea Kepart 1UH4 6/2/93, <br /> Date' Ain: 06/18/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVTC Report 15109 <br /> ZWn�* : ALANB Page # 1 <br /> CV Y 01 of 01 <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # C0000127 ' Program/Element : 1600 <br /> Taken by: CAROLINE NASCIMENTO Date: 06/18/93 Time: 15 : 19 : 56 <br /> Assigned to Date: 06/18/93 Time: 15 : 19 : 56 <br /> Facility Name : PACIFIC BAKING CO Fac ID: 001863 BILLing Party: Y / N <br /> Location: 3236 PACIFIC AVE <br /> 1a� 1� <br /> COMPLAINT Info - f <br /> Complainant : S I Home Phone : <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info <br /> DBA or Name : Loc Code 01 <br /> Address: - BOS Dist 0002 <br /> City: APN # : <br /> " Phone: TM.. BILLing'Pastg: Y / N'- " <br /> OWNER Info - <br /> Owner/Agent : Home Phone: � <br /> Address : Work, Phone: <br /> City: BILLing Party: I / N <br /> Nature of Complaint : <br /> WAITRESS SOPPING UP WATER IN THE SALAD DISPLAY CASE & DRIPPING WATER <br /> INTO THE SALADS - <br /> k <br /> INVESTIGATION REPORT f <br /> DATE BY DISPOSITION <br /> r <br /> 4 <br /> ' r <br /> Service Code: Action Code: Result Code: <br />