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Date run: 08/14/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Rur by : MARYF/C� Page # 2 <br /> Copy # : 01 o* COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT it = C0006691 Program/Element : 1600 <br /> Taken by : 9051 MARY OSULLIVAN Date: 08/13/96 Assigned to : 0794 RAN MATHEW Date: 08/13/96 <br /> Hard copy Printed: <br /> Facility Name : 99 .SPEEDWAY Fac ID : 002137 <br /> BILL to inventoried FACILITY: <br /> Location: 4105 N WILSON WAY (Must have FACILITY IDR) <br /> Complainant : DANIEL Home Phone : 209-464-7399 <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : 99 _SPEEDWAY Loc Code : 01 <br /> Address : 4105.. N _W.ILSON WAY _BOS Dist : <br /> City : STOCKTON. 95205 APN # <br /> Phone : 209-477-2277 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : R G.-CONCESSION COMPANY Home Phone: <br /> Address : PO BOX 7065 Work Phone : <br /> _... .. .... _ _. <br /> City : STOCKTON C.A. 95207 <br /> Nature of Complaint: <br /> SAT 8/10 WHEN THE POWER WAS OUT THEY WERE SELLING FOOD— "COLO" ( HOT DOG <br /> & OTHER ITEMS ) THAT SHOULD HAVE BEEN HOT . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral 8-BD OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: 411-11!7" Q(Q� <br /> Ol-Field Abated 02-Office Abated 03-NAI 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 R if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />