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Date run: 09/27/99 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report ' 5104 Rt z� o_. : CAROLD Page. # 1 Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rr�yrrJrrrrrrrrrrrrrrtrrrrrrrrrrrrrrrrrrrrrrrfrirrrrrrrrrrrrrrrrrrrrr,Yrrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrr� rrrrrrrr COMPLAINT # CO 13014 Program/Element 1617 Taken by : 6519 DISA Date: 09/27/99 Assigned to 0794 MATHEW Date: 09/27/99 Hard copy Printed: Facility Name : BIG. VALLEY_ _ FO0D Fac ID: 001895, BILL to inventoried FACILITY: Location: I.P.3.2............. ......DIABL0--. VE. {Must have FACILITY IOAJ I FACILITY LOCATION/Property Info — i DBA or Name: BIG VALLEY FOOD Loc Code ': 01 Address : 1832 MT DIA9L0 AVEBOS Dist City: STO.CKT_QN. 95203 APN # Phone : 209--465-3100 I BILLING RESPONSIBLE PARTY or OWNER .Info — Name: L.I_N............T.S ..s........CHOW...}.._.._W.O. lG...s..._C V...:_GH. _ .._...................................._Nome Phone : Address. 1832 MIT DIABLO AVE Work Phone: 209— 65-3100 City: sTOCKTQN. CA. 95203 Nature of Complaint: SELLING EXPIRED FOOD PRODUCTS BABY FOOD , HOT DOGS , CHEESE . THE STORE ALSO SMELLS OF BAD MEAT ALL THE: TIME . i I I I COMPLAINT Info — COMPLAINT MODE: P PHONE i A-Agency Referral B-BD OF Supervisors/City CCOUnCil C-Counter M-Mail/Correspondence 0-Other EH Unit P-Phone I COMPLAINT STATUS: i O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness Send Referral Letter to: Address: I Referral Letter Sent by: Date: Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated i i Forwarded to UNIT: 0, II III IV for Investigation i I i I