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Run by CAROLINE/ P..96 ..:;_ <br /> Copy, ## 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = 00442993 Program/-Element 1.600 <br /> Taken by : 9051 MARY OSULLIVAN Date: 12/05/94 Assigned to :BA Date: 12/05/94 <br /> Hard copy Printed: <br /> Facility Name : QM.I,NGuJ_SKHAN._._. .2, Fac ID-' Q.02 4.6.0. <br /> BILL to inventoried FACILITY: <br /> Location: .6.7-S...1— ..N WJ..LS 0 N. WRY ., (Musthave FACILITY ID#) <br /> Complainant: <br /> ; <br /> ...................................................._.................... <br /> FACILITY LOCATION/Property Info <br /> DEA or Name: G.HINGGIS KHAN Loc Code 01 <br /> Address : 678 N <br /> WILSON......... .......... <br /> BOS Dist 002 <br /> ........._ _.......... _ ................ _ ......................... <br /> city: STOCKTON205 APN 0. , <br /> Phone <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name : RONNIF .SHIH Home Phone: <br /> Address . E6,78.....N..._WTLSQ..N....#2#2....... _..........Work Phone : <br /> City : STOCKTON CA. 95205 <br /> Nature of Complaint: <br /> ROACHES AT RESTAURANT ( STATED THAT BOTH RESTAURANTS HAD ROACHES —MADE <br /> COMPLAINT ON EACH FACILITY ) <br /> PYX I <br /> SEC 1 � 19g� <br /> COMPLAINT Info <br /> VIR�NM�N��CESL�H <br /> COMPLAINT MODE: P.._....._PHONE �N pE1�N11T�SECt <br /> A-Agency Referral 3-BD OF Supervisors/City Ccouncil C-Counter M-Mail/COrrespondence <br /> 0-Other EH Unit P-phone <br /> COMPLAINT STATUS: d� <br /> 41-Field Aba Q Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 05- • er to Premise File 01-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: l! II III IV for Investigation <br /> a r <br /> COMPLAINT # : C0002993 Date: 12/05/34 <br />