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f <br /> f <br /> Date run: 06/04/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by : CAROLINE Page 0 5 <br /> Copy 0 : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT 0 : 00002000 Program/Element 1600 <br /> Taken by : 2115 CAROLINE NASCIMENTO Date: 06/06/94 Assigned to 0102 STEVE MI T Date: .06/06/94 <br /> Facility Name: LUCKY STORE 0301 Fac ID: 000395 <br /> BILL to inventoried FACILITY: <br /> Location: 530 W LODI.AVE (Must have FACILITY IDS) <br /> Complainant: EMPLOYEE ANNON Home Phone: <br /> Address: Work Phone: <br /> FACILITY LOCATION/Property Info W <br /> DBA or Name: LUCKY STORE 0301 Loc Code 02 <br /> Address: 530 W LODI AVENUE 605 Dist : 003 <br /> City: LODI APN 0 <br /> Phone: 209-334-2541 <br /> BILLING RESPONSIBLE PARTY or OMNER Info - <br /> Name: LUCKY - LICENSE CLERK Home Phone: <br /> Address: P.O- BOX 5008 Work Phone: <br /> City: SAN LEANDRO CA 94577 <br /> Nature of Complaint-. r�'T-► �� ��� <br /> COMPANY;BRIT-KEL,ENT SPRAYS ENAMEL PAINT 6 NITE.Off REFERIGATOR BOXES, <br /> C**6_W/O PROTECTING PRODUCE/FOOD-4-5 WEEKS AGO, EMPLOYEES BECAME ILL- <br /> PAINTS USED; TOULENE/QUICK-DRY ENAMEL/MEK; <br /> COMPLAINT Info _ <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BO OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: _ <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 09-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 as 111 IV for Investigation <br />