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Date run: 04/29/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report x5104 <br /> Run by CAROLINE Page # 7 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMM.MA*.xlMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> 0014PLAINT 0 : C0001770 Program/Element : 5600 <br /> Taken by 8674 JAIME FAVILA Date: 04/29/94 Assigned to : D30 Date: 04/29/94 <br /> Facility Name: BIG VALLEY FOOD Fac ID: 001895 <br /> BILL to inventoried FACILITY: <br /> Location: 1832 MONTE DIABLO (Must have FACILITY ID#) <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: BIG VALLEY FOOD MART Loc Code 01 <br /> Address; 1832 MONTE DIABLO BOS Dist 002 <br /> City: STOCKTON 95205 APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OMER Info - <br /> Name: LIN,TSE,CHOW,WONG,C£N,CHIN Home Phone: <br /> Address: 1832 MONTE DIABLO AVE Work Phone: 209-465-3100 <br /> City: STOCKTON CA 95205 <br /> Nature of Complaint: <br /> COMPLNT ALLEDGES PORK SAUSAGE PURCHSED ON 4/22/94 WAS STORED IN FRZER <br /> & THAWED IN FRIDGE FM 12-4AM ON 4/22/94-MEAT LOAF WAS PREPARED & SERVD <br /> B 6:30pm on SUNDAY NITE 4/24/94-DAUGHTER & GRANDSON BECAME ILL W/VOMITING <br /> R. DIARRHEA APPROX.3 HRS LATER,GRANDMOTHER BECAME ILL ON 4/25/94 0 10:30PM <br /> I <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 /> GONfPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 00-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 />