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.. a. <br /> BLIC HEALTH gERVIG Report ##5104 <br /> Date run: 04/27/94 SAN JOAQUIN COUNTY PU <br /> Page ## 17 <br /> Run by SYLVIIA <br /> copy � : O1 of 4i COMPLAINT INVESTIGATION BEFORE <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMhiMMMMMMMMMMMMMMMPMMMograM/ EMeme MMM160OMMMMM4fMMMl�IMMM INDT Date: 04/26/94 <br /> 001IPLAIpT : 00001747 Assigned to : 0102 S <br /> Taken by ; 2115 CAROLINE NASCIMENTO Date: 04/26/94 <br /> Facility Name: BURGER KING Fac ID: 002725 <br /> BILL to inventoried FACILITY: ��- <br /> (Must have FACILITY IDO) <br /> Location: 8023 WESTLANE <br /> Home <br /> : <br /> Address: <br /> FACILITY LOCATION/Property Info - <br /> Loc Code 02 <br /> DBA or Name: BURGERKING BOS Dist 004 <br /> Address: 8023 WESTLAN£ <br /> City: LODI APN <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: GIL WYMOND Home Phone: 209-952-6595 <br /> Address: PO BOX 380 work Phone: <br /> City: RIVERBANK CA <br /> Nature of Complaint: <br /> 9:30AM/HMBURGER,FRIES & COKE/STATED THAT BURGER DEFINITELY HAD "FECES" <br /> IN IT. ."COW" - WANTED TO HAVE TESTED/ASKED G.B. TO CALL.. . <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 #r if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br /> _ w - <br />