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Date run: 07/06/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Reaort #5107 <br /> Run by : ROSEMARY 'a 6 # 9 <br /> C�pg # : 01 of UI COMPLAINT INVESTIGATION REPORT <br /> Mz�MMMMM?�lMMMMMMMMMMMMMhfMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM1��t���MMMMMMMMMMMMM <br /> CONPLAINT # C0000244 Program/Element : 1600 <br /> Taken by ROSEMARY FLORES Date: 07;06193 Assigned to Date! 07/06193 <br /> Facility Name : SUN KWONG Fac ID: 000951 BILLinn Party: Y / N <br /> Location: 1460 W YOSEMITE AVE <br /> COMPLAINT Info - COMPLAINT MODE: P PHONE <br /> COMPLAINT STATUS: 9 y <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info - DILLing Party` Y ] N <br /> DBA or Name : SUN KWONG Loc Code : 04 <br /> Address : 1460 W YOSEMITE AVE BOS Dist. : <br /> City: MANTECA 95336 APN # : <br /> Phone : 209-239-3288 <br /> OWNER Info - BILLing Party: Y / N <br /> Owner/Agent : WONG, MAN M Home Phone : 209-239-3288 <br /> Address: 627 COBBLESTONE Work Phone : <br /> City: MANTECA, CA95336 <br /> Nature of Complaint : i <br /> ATE SHRIMP, CHOWMEIN,RICE & SWEET & SOUR, EGG ROLL - ILL W/SEVERE ' <br /> STOMACH PAIN & CONSTANT VOMITING & DIARRHEA - DR. DX W/FOOD POSIONING t <br /> PHONE <br /> INVESTIGATION REPORT <br /> DATE BY DISPOSITION _- --------------------�._----____-__W-__--____-- <br /> r <br /> �` <br /> I <br /> LU <br /> i <br /> 'e� <br />