Laserfiche WebLink
Date run: 05/11/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by CAROLINE Page 0 1, y <br /> Copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMM.MMMM.M.hfM.MMMMMMMAlMMh4M..MMMMMMMMMMMM!!.MMMM!dMMhlhtM.MMMMMMMD!!?MMMMMMMMMMM.M.MM.MMMM. <br /> COMPLAINT 8 : C-0001837 Program/Element 1600 <br /> Taken by 2115CAROLINE NASCIMENTO Dare: 05/10/94 Assigned to : 8674 JA FAViLA nate: n5/10/94 <br /> Facility Name: PIZZA TIME THEATER Fac ID: 002509 . <br /> BILL to inventoried FACILITY: <br /> Location: 4555 N PERSHING (Must have FACILITY ID#) <br /> Complainant: SUSAN Home Phone: 209-951-4854 <br /> Address: Mork Phone: <br /> FACILITY LOCATION/Property Into - <br /> DBA or Name: PIZZA TIME EXPRESS Loc Code 01 <br /> Address: 4555 N PERSHING AVENUE 9OS Dist 002 <br /> City: STOCKTON 9520? APN 0 <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: Home Phone: <br /> Address: Work Phone: <br /> City: - — <br /> Nature of Complaint: <br /> ORDERED GARLIC. BREAD W/CHEESE - "SOMEONE HAD TAKEN A BITE OUT OF BREAD <br /> PRIOR TO HER RECEIVING HER ORDER" ADVISED MGR,HE CONFRONTED EMPLOYEE; ' <br /> EMPLOYEE "DENIED" TAKING A BiTE OUT OF BREA.D..COMPLAINANT BECAME SICK TO <br /> HER STOMACH.. (REASON: "THOUGHT OF SOMEONE ELSE TAKING A BiTE OUT OF MY <br /> FOOD MADE ME SICK. TO MY STOMACH AND i THREW UP".COMPLAINANT STATED THAT <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: <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 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br /> I <br />