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Date run: 12/01/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by SYLVIA Page it 1 <br /> Copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MABIMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMhfMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT 5 : C0001107 Program/Element 1600 <br /> Taken by 7354 SYLVIA MARTINEZ Date: 12/01/93 Assigned to : 0633 YODfR 4ate: 12/01/93 <br /> Facility Name: MCDONALDS Fac ID: 002906 <br /> BILL to inventoried FACILITY: <br /> Location: 5308 5308 PACIFIC AVE (Must have FACILITY IDA) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: MCDONALD'S Loc Code 01 <br /> Address: 5308 PACIFIC AVE SOS Dist : 002 <br /> City: STOCKTON 95207 APN 0 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: REDARHCS MANAGEMENT COMPANY Home Phone: <br /> Address: .4502 GEORGETOWN STE 202 Work Phone: <br /> City: STOCKTON CA 95207 <br /> Nature of Complaint: <br />! - ATE AT MCDONALD'S 2 SMALL HAMBURGERS A COKE _ 1 HR LATER HAD STOMACH <br /> ACHE 8 VOMITING - <br />;E <br /> t <br /> s <br /> COMPLAINT Info - <br /> F <br /> j 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 /> n COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> OS-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> h <br />