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Dake nun.: 06/24/,97 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Reuott #5104 <br /> Run by KAREN (� Page # 5 <br /> Copy # : 01 0401 COMPLAINT INVESTIGATION REPORT <br /> COMrtAINT ## CO008473 P Lognam/E4?ement : 1600 <br /> Taken b4 : 1961 JERRY YOSHIOKA Date: 06/24/97 A44agned to 0626 4€J4R-� Date: 06/24/97 <br /> Ha,,d copy Pjanted: /4:1//yr <br /> Fac,Lt,i.#.y Name: FEAR EAST CAFE Fac I'D: 001527 <br /> BILL to inveatotZed FACILITY: <br /> Loea t Lon: 2 2 1 1 N . WILSON- WAY , STOCKTON (M"t leave FACILITY ID#) <br /> Complainant: ANONYMOUS Home Phone: <br /> Add,, "--6: _ - - _ -- - - — -IUonh Phone: <br /> FACILITY LOCATION/PnopeAty Ingo - <br /> DBA on. Name: -- -- _ Loc Code : <br /> Addn"_6 : BUS 0'"t : <br /> C-Lty : _ --- — — — APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY on, OWNER In4o - <br /> Name: Home Phone: <br /> Addne,s_s : -- - -- --- -- -Wonh. Phone: <br /> City : - <br /> Nataae 04 Coutaant: <br /> The eompta-i.nan-t 4 ound a worm LrL he,,L deep 4,L-i,ed pawn po-"4_bzy a bot-p <br /> weev-it. The eompt.a.i.n.ant waw 7e,4e-,ed to the Eme,,tgency Room. <br /> COMPLAINT Indo - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Re;vtut B-BD OF Supetva4ou/City Ccouncat C-Counter M-Mait/C04A"uondcau <br /> 0-0th EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> 014etd Abated 02-04lice Abated 03-NAI Sent 04-Notice to Abate 144ued 05-En4otee ACT Initiated <br /> 06-Tj,ane4e,, to PaemiAe Fate 07-Re,4vt to OtkeA Agency 08-Not VOM 09-Foodboute IttitcsA <br /> Send R e 4 e cn a t L eft e-, t.o: <br /> Addn,e-&,&: -- — — ----- <br /> Red en.n,at L et t.e.�? Sent b y : Date <br /> Ci.tcte aopaoptia.te Unit # U comptaant tin anotktt PROGRAM iva 4dactaon, Havc Cou taant Recoad and P/E updated <br /> Fowaa,ded to UNIT: ( II I11 IV ioi, Inve 640,i,on <br />