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Date run: 04/02/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : MARYO ICI�y Page # 1 <br /> Copy, # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0005820 Program/Element = 1600 <br /> Taken by : 9051 MARY OSULLIVAN Date: 04/02/95 Assigned to : 0526 HECTOR CASTRO Date: 04/02/95 <br /> Hard copy Printed: <br /> Facility Name: , BURGER KING. Fac Ila: 002. 725 <br /> BILL to inventoried FACILITY: <br /> Location= 8023....._WEST..._..LA E., -. .STpCKTO.N.. (Must have,FACILITY ID#) <br /> Complainant: M.RS.........._DATES.,. .....M._. Home Phone : 209--473-2835 <br /> Address : ._........ Work Phone <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: BURGER KING <br /> .................................................. Lac Code <br /> Address= 8023....WST...._DANE................................. BOS Dist <br /> ..................._.._....._................................................................_..................... <br /> City: 5T.00KToN. APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name- G_IL......WYM©Na................ _.. _._._... _.__......................_.........::.........................._Home Phone <br /> Address: p..,...0_._BOX.....3.8.n............................................................__..............._.................................._....._....._.............__Work Phone : <br /> City: RIVERBANK CA 95367 <br /> Nature of Complaint: <br /> WHILE EATING AT :BURGER KING , SHE SAW MICE RUNNING AROUND . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: , <br /> 01-Field Ahatey^ d 4 00ice Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise Filer 01-Refer to Other Agency 08-Not Valid 09-Foodborne Illness i <br />