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Date run: 03/18/98 SAID! .JOAQUIN COUNTY PUBLIC HEALTH SERVTC Report #5104 <br /> Run 'bY = CAROL YVI Page # 3 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009879 Program/Element : . — <br /> Taken by : 6519 DISA Date: 03/18/98 Assigned to : 0794 MATHEW Date: 03/18/98 <br /> Hard copy Printed: <br /> Facility Name : ASIAN SUPERMARKET Fac ID : 002514 <br /> BILL to inventoried FACILITY: <br /> Location: 4555 N PERSHINGAVE 16 (Must have FACILITY ID#) <br /> Complainant : MARTAHome Phone : 209--467-3511 <br /> Address : _ Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: ASIAN SUPERMARKET Loc Code : 01 <br /> Address: 4555 N PERSHING AVE 16 BOS Dist 002 <br /> City: STOCKTON 95207 APN # <br /> Phone: 209-957-3097 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: UNG , ALICIA Home Phone : 209--952-3508 <br /> Address: 8(,67 MARINERS DR #67 -Work Phone : 209•-957-3097 <br /> City : STOCKTON. CA 95219 <br /> Nature of Complaint: <br /> BOUGHT FISH AFTER COOKTNG ,IT SMELLED AND TASTED LIKE GAS . <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: _.00 <br /> 01-field Abated 02-Office Abated 03-NAI Sent ice.to_A a Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: D a t e: <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: QI II III IV for Investigation <br />