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mepor s;blvq <br /> Run by SYLVIA <br /> Page # 4 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> OIAIhIMMMMI�IMMMMMMMMMMMMMMMMMMMAiMMMMMMAIMMMMMMMMMMMMMMMAIMMMMMMMMMMMMMMAfMMAA�IMMMMMMMMM <br /> +_ CMPLAINT # : C M153B <br /> Program/Element 1600 <br /> Taken by : 1562 LORETTA DUNHAM Date; 03/09/94 Assigned to : 0102 STEVE MINDT Date: j3/09/94 <br /> Facility Name: TACO BELL Fac ID: 004550 <br /> BILL to inventoried FACILITY: <br /> Location: 2380 W KETTLEMAN LN (Must have FACILITY IO#) <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: TACO BELL Lac Code : 02 <br /> Address: 2380 W KETTLEMAN LN BOB Dist 004 <br /> City: LODI 95242 APN # <br /> Phone: 209-369-3359 <br /> BILLING RESPONSIBLE PARTY or OMMER Info - <br /> Name: TACO BELL Home Phone: <br /> Address: 2380 W KETTLEMAN LN Work Phone: 209-369-3359 <br /> City: LODI CA 95242 <br /> Nature of Complaint- <br /> - ATE THERE 3/6/94 ATE 2 SOFT TACOS SUNDAY ABOUT 1HOUR LATER HAD VOMIT <br /> ING AND DIAHRREA - <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <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: 06 <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 />