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L)ciLv <br /> TS / BHN ,�UA�lU11V COUNTY PUBLIC HEALTH SERVIC Report $5104 <br /> Run by CAROLD Page # 4 <br /> PY�'� F 01of1 COMPLAINT INVESTIGATION REPORT <br /> M1`1MMMMMMMf"JMMMMMMMNfMNINJMMMMM!'!!"lPIMMMMMMMMMMMMMMMMMMMNIMMMMMIvIMl MNIMMMNIMMNIMMMMMMMMMMMMM <br /> COMPLAINT # = C0013058 Program/Element : 1624 <br /> Taken by : 0467 CARRUESCO Date: 09/29/99 Assigned to 2282 RABACA Date: 10/01/99 <br /> Hard copy Printed: <br /> Facility Name: BURGER KING Fac ID: 002725 <br /> ..-..._.._................................._.._...... <br /> BILL to inventoried FACILITY: <br /> Location: 8023,...,...,...WErST....__LANE (Must have FACILITY IDO) <br /> Complainant: ANONYMOUS ......... <br /> Address : Work Phone: <br /> FACILITY LOCATION/Property Info -- <br /> DESA or Name : . BURGER KING Loc Code : .......... <br /> Address: 8023 WEST LN BBS Dist : <br /> .._..............-._........................._......._.................._.............................................................._......._......................_..._.........._._........................_ <br /> City: STpGKTQN, 95210 APN ## <br /> Phone: 209-952-6595 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: WYON©..,....._G_ -.................._._....._._. ... .Home Phone : 209-869-4581 <br /> Address: PO BOX 380 Work Phone: 209--474-7711 <br /> .............._.....-........_..............................._......................................_.............._..........._................................_....._........_................._........... <br /> City: f1.TVF_BANK CA. 95367 <br /> Nature of Complaint: <br /> FOUND BAND—AID IN HAMBURGER . <br /> COMPLAINT Info — <br /> COMPLAINT NODE: P PHONE <br /> .................. <br /> A-Agency Referral B-BD Of Supervisors/City Ccouncil. C-Counter M-Maii/Correspondence <br /> 0-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 /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date: <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I J II III IV for Investigation <br />