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DateruJR: 03/19/97 SAN JOA©UIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : MARYOl Page # 9 <br /> Copy # : 01 of COMPLAINT INVESTIGATION REPORT <br /> " 0 00007982 Program/Element <br /> Tata by • =4,M0 ARNSTRW Date: 03/18/97 Assigned to : 0794 RAJU MATlEV Date: 03/18/97 <br /> I#rd copy Priated: 03/18/97 <br /> Facility Name: BIG VALLgYFOOD Fac ID: 401895 <br /> BILL to inventoried FACILITY: <br /> Location= 1832 �MT-_DIABL.O AVE (Must have FACILITY IHj <br /> <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name: IG V Y FOOD _ Loc Code : Al <br /> Address: 1@32 T, Dr ,Lp_ AVE 4_ BOS Dist <br /> City: STOCKTON 9.5203 APN # <br /> Phone: 209-465-3100 <br /> JBtLLLNG.RESPONSI3LE PARTY or . LER Info — <br /> Name: LIN. ISE. CHOW. WONG, CEN-CHIN _ Home Phone: <br /> Address: 1632 MT DIABLO AVEWork Phone: <br /> City: ST09KTON GA 95203 <br /> Nature of Cowiaint: <br /> SELLING ,OUT DATED FOOD, DIRTY HANDELING CHICKEN AND OTHER MEAT WITH— <br /> OUT WASHING HANDS CALL COMPLAINTANT AS SOON AS POSSIBLE <br /> COP PLAINT Info — <br /> CONPLAIN NDE: P P IE <br /> A-Agency Referral 8-8D OF Supervisors/City Ccouncil C-Coulter N-1ki1/Correspoodeace <br /> O-Other Em Unit P-phone <br /> CONFLAINT STATUS: <br /> ='2erra <br /> Abated 03-Ml Seat 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> -Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> etter to., <br /> Address= <br /> Referral Letter Sent by: Date: <br /> Circle aPProPriate Unit # if cosplaint in another PROBRAN jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 11 III IVB for Investioation <br /> r <br />