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Date run: 03/29/94 SAN JOAQUIN COUNTY PUBLIC HEALTH 8£RVIC Report 115104 <br /> Run by SYLVIA Page # 2 <br /> Copy # Oi of 01 COMPLAINT INVESTIGATION REPORT <br /> y x MMMMMMMBM1M9CMINT # MMMMMMMMMMMMMMMMMMAIMMMMMMMMMMMMMMMMMMMMMMMMMMMFIMMMMMMMMMM <br /> Program/Element f600" <br /> Taken by : 7354 SYLVIA MARTINEZ Date: 03/29/94 Assigned to 0102 STEVE MINOT Date: 03/29/94 <br /> Facility Name: PEKING RESTAURANT Fac ID: 002624 <br /> BILL to inventoried FACILITY: 1 <br /> Location: 7555 PACIFIC AVE (Must have FACILITY ID#) f <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: PEKING RESTURANT Loc Code : 01 <br /> Address: 7555 PACIFIC AVE 805 Dist : 042 <br /> City: STOCKTON 95207 APN # <br /> Phone: 209-957-0617 <br /> BILLING RESPONSIBLE.PARTY or OWNER Info - <br /> Name: SILL 8 MIN CHU SHAN Home Phone: <br /> Address: 7555 PACIFIC AVE Work Phone: 209-957-0617 <br /> City: STOCKTON CA 95207 <br /> Nature of Complaint: <br /> - HAD DELIVERED SWEET S SOUR PORK, PORK CHOW MEIN do ASPARAGUS 3/20/94 <br /> 05:30PM - JUDY IS THE ONLY ONE WHO ATE SWEET 4 SOUR PORK 8 BECAME ILL <br /> VOMITING - CHILLS - HEADACHE - STILL FEELING SICK - <br /> COMPLAINT Info - <br /> COMPLAINT.MODE: P PHONE <br /> A-Agency Referral B-8D 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-MAI 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 # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 11 III IV for Investigation <br />