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Date run: 11/15/93 SAN JOAQUIN COUNTY PUBLI-C HEALTH SERVIC Hepor MiV / <br /> Run by CAROLINE Page 2 <br /> Coo)" 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> .MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM14MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> 1CDKPLAINT # : COOOJO32 Program/Element : 1600 <br /> G r3`o l•ark ' ped tC : GE3; ilA YG}e? G8 e: ?11i?fus <br /> "aief 5y . ?i". vARGLIii� NAa .HEiiG Silizsig. <br /> A <br /> Facility Name: MANNYS DRIVE INN 02 Fac ID: 002709 <br /> tcr-ed <br /> Location: 7925 Thornton Must hays P.4CIL:I'r 15fl <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: Mann s Loc Code 01 <br /> Address: 7925 Thornton BOS Dist <br /> City: Stockton 95210 APN 0 <br /> Phone: 209-477-1711 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: Manual Escobar Home Phone: <br /> Address: 7925 Thornton Work Phone: <br /> City: Stockton CA 95210 <br /> Hatire of Co plaint: <br /> Ordered 12—pc bckt chkn—potatos—dip—chkn—beans—garlic bread--5 persons- <br /> 2 boys did not eat potatos & dip—compint—boyfriend—& daughter did--all <br /> became ill within 5-6 hrs--violent voimiting—severe stomach cramps—diarrea <br /> Complaintant is seeking medical aid—she thinks it may have been "dip" <br /> COMPLAINT Info — <br /> COMPLAIN: HOG=: P PHOIJ <br /> s <br /> 4 <br /> A-�,�e�cy t?f9Fra1. B-BO CF "sUper'�`sCrS(C'.`.y CCCUnci f-E:CdfiC9r it �laiir',Or'es4CCden e <br /> u-Other .? 41t P-Phone <br /> F GpNPLA1ki LE�E1�S: <br />' 4t- ield Mated 02-Office Rated 03-61 Sect 04-9ctice to Oate Issued Gs-ERforce 4°^7 In'ti.tec <br /> 06-Irar,sfer to Premise File 01-¢sfer to Other Agency H.-No? V31;e Cg-`oodbCrns Inness <br /> r <br /> Circe aP ropriat° 1�A if CIT p13i.1 in an.a the r.p9'C�F91!4 jurisdiciiCr, !13�fe vom�lairt PecCrd 3114 VE updated <br /> Fafxerdsd to UH!!: I !I: 1V for Ir;vestigatior <br /> f <br /> a <br /> s <br /> t <br />