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b7l <br /> Date run: 10/31/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by LAURIE Page # 7 <br /> Copy # = 01 of- 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = 00002842 Program/Element : 1600 <br /> Taken by : 0997 HARLIN KNOLL Date: 10/31/94 Assigned to : Date: 10/31/94 <br /> Hard copy Printed: <br /> Facility Name = RONp......TABL.E....._P_I_ZZ,A, Fac ID: 0.1.0-0.9-5.4. <br /> ` BILI. to inventoried FACILITY: <br /> Location: 146G............W......YOSEMITE (Must have FACILITY ID#) <br /> <br /> <br /> <br /> .......................................... <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : ROUND TABLE Loc Code : 04 <br /> Address ., 1.464......YOS M.I.TE ..........BOS Dist : 005 <br /> City- MART CA APN # ; <br /> Phone: 209-825-8003 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone : <br /> Address: Work Phone : <br /> City : . ........... <br /> Nature of Complaint: <br /> ATE= PIZZA AT 4 : 00 PM FRI 10/28/94 ; HE AND 4 OTHERS IN HIS PARTY <br /> BECAME 'ILL SAT AMS RECEIVED NOTIFICATION FROM ANSWERING SERV; <br /> HARLIN RECEIVED CALL , TOOK INFO , CALLED RACHAEL AT ROUND TABLE <br /> � <br /> UIRbENT U.RG.' EN <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF SupervisorslCity Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Oth <br /> er EH Unit P-Phone <br /> COMPLAINT STATUS: �fp <br /> 01-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 # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated, <br /> Forwarded to UNIT: I II III IV for Investigation <br />