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r u.ilV.5r1l1V._ bA)N ,JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Run by CAROLD page # <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> W. - - . <br /> COMPLAINT # = C0011898 Program/Element _L&efl" <br /> taken by : 9051 OSULLIVAN Date. 03/11/99 Assigned to : 0321 OLIVEIRA Date: 03/11/99 <br /> Hard copy Printed: <br /> Facility Name : W.ES.T-..._LANE .BOWL Fac ID : 002383 <br /> ................................ <br /> BILL to inventoried FACILITY: <br /> Location= 3900,.,..-.._WE51..._LANE. (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property InfoDBA — <br /> or Name : WEST...._LANE..._B,OWL................_....-....-................._._._._..,-. Loc Code : 01- <br /> .._.._...............................................,..........,._ <br /> Address : 3900......WEST_..._�.�N.........-........_..._....... . . BOS Dist 002 <br /> ........_......................................................................................................_._............ <br /> City- STOCKTON 95204 APN # <br /> Phone : 209466-3317 <br /> :3 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : DEL..UGCH_I-1.__RAY........................._.........................-........_....-.....__...- ..._........_Home Phone: <br /> Address: 3900 WEST LANE Work Phone = 209-466-3317 <br /> City = STOCKTON. CA_ 95204 <br /> Nature of Complaint: <br /> MANAGER NAME PERCY . THE VOLUNTEERS ARE SUPPOSEDTO GET A FREE MEAL EACH <br /> DAY THEY WORK . THEY USE TO GET X AMOUNT OF DOLLARS OF CREDIT AT THE <br /> SNACK BAR . THE MANAGER NOW BUYS FOOD FROM A LADY THAT COOKS AT HOME SELLS <br /> IT TO THE MANAGER WHICH HE GIVES TO THE VOLUNTEERS . THEY ARE UNHAPPY <br /> ABOUT THIS . THE: LADY DOES NOT HAVE A PERMIT TO MAKE THIS FOOD . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City CCOUnCil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: og <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-No Abate Issued 05-Enforce ACT Initiated <br /> 06-Tran8fer to Premise File 07-Refer to Other Agency OB- Valid 09-foodborne Illness <br /> { <br /> Send Referral Letter to: <br /> Address= <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and.P/E updated <br /> Forwarded to UN1.�0- , II III IV for Investigation <br />