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RW byun gRK96 * SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Reportage#5104 <br /> 1 <br /> Copy # 01 of COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0006017 Program/Element 1600 <br /> Taken by : 9051 MARY OSULLIVAN Date: 05/06/96 Assigned to : 9157 MARK BARCELLOS Date: 05/06/96 <br /> Hard copy Printed: <br /> Facility Name: S_,,E_._A,.-__MARKET. Fac ID: 00„2077. <br /> BILL to inventoried FACILITY: <br /> Location: 2824 ; F OEM INGION.._.RD. (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code : 99, <br /> 5...:E.._._A.....MARKET._.......__...........__.._.......-----------........._......_...-----.._........__....__..._.._.__. <br /> Address: BOS Dist : 00..4... <br /> 2824_._..._..FARMINGTON:_RD__.......__:...---......_._._.........__......................._--.........._....._. _. <br /> City: STOCKTON 95205 APN # <br /> Phone: 209-465-6766 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: LEE_,_---CHALERNSAK ,--,__--...._.__------__..........--.- -----------------------,.:Home Phone: 209-464-4008 <br /> Address: 2824....._.._FARMI_NGTON.. ...:...__.._........... --.................._...............'...........---...._Work Phone: <br /> City: ST,OCKTON CA 95205 <br /> Nature of Complaint: <br /> SELLING FOOD THAT IS COOKED IN HOME KITHCEN THE SOLD TO CUSTOMERS . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: M MAIL/CORRESPONDENCE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: CS� <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: QI II III IV for Investigation <br />