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10 <br /> �; .. <br /> Va-ti} un: 06/25/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report t ia4 <br /> Run by ROSEMARY # 1 <br /> 'Copy # 5;.a1-af 01 COMPLAINT INVESTIGATION REPORT Page <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMI�IMMMMMMMMMMMMMMM <br /> COMPLAINT # : C0000176 <br /> Taken by ALAN BIEDERMANN Program/Element 1600 <br /> Assigned to 0369 ALAN BIEDERMANN Date; 06/25/93 Time : 09: 57 : 09 <br /> Date 06/25/93 Time: 09: 57 : 09 <br /> Facility Name: Fac ID: <br /> . BILLing Party: Y ! N <br /> Location: 1658 S . AIRPORT WAY <br /> COMPLAINT Info - COMPLAINT MODE: <br /> COHPLAINT STATUS: <br /> ComPlainant : <br /> <br /> <br /> t FACILITY LOCATION/Property Info.- <br /> - DBA or Name : TERI & ANDY BLAKNEY Loc Code : 01 <br /> Address: P.O. BOX 2834 BO.S- Dist 0001 <br /> City: EL CAJON -'920-,-,", <br /> APN # <br /> Phone : BILLing Party:' Y / N <br /> OWNER Info - <br /> Owner/Agent : Home Phone : <br /> Address : Work Phone : <br /> City: , BILLing Party: Y / N <br /> Nature of Complaint : <br /> UNDER COOKED CHICKEN CAUSED WIFE TO HAVE CRAMPS & DIARRHEA AFTER <br /> VISITING THE COUNTY FAIR - <br /> • a <br /> j <br /> • i <br /> 4 <br /> INVESTIGATION REPORT ' <br /> DATE BY DISPOSITION <br /> knauuAh IS\ <br /> L <br /> one- <br /> f <br />