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,r <br /> Date. run : 02/28/95 SAN JOAQUIN COUNTY PUBLIC kALTH SERVTC Report #5104 <br /> 'Run by SHE"LLY/Gv� Page # 4 <br /> Copy 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0003382 Program/Element : 1600 <br /> Taken by : 0628 SHELLY PRATER Date: 02/28/95 Assigned to 0794 RAN MATHEW Date: 02/28/95 <br /> Hard copy Printed: <br /> Facility Name: FOOD 4 LESS Fa:c ID: 00246. 3 <br /> BILL to inventoried FACILITY: <br /> Location: 67.8.............._r*I. WILSON WAY (Must have FACILITY I00) <br /> Complainant: <br /> <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: FOOD 4 LESS Loc Code : 01 <br /> ................._...._..........................................._........................._.............:...._...........:..._....._..._._..._.._..__..._......:_.........._.__...._...._......._....._...._.......... ...... <br /> Andress: WILSON WAY BOS Dist : <br /> City : STOCKTO .__ APN ## <br /> .__..._. ..._.: . . . ._ ,.._ _...._ _ ._:..._.. _,.._.................._.._ -......_. <br /> .......................................... <br /> : <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: FOOL? 4 LESS Horne Phone : <br /> Address: W_I_LSON....._WAY.................................:...:.....__..:.........................:............._............................ Work Phone : <br /> City : STOCf4.T_ON, CA_ Ikkl <br /> Nature <br /> ~ , ATE SAUSAGE LINKS AT I . QOPM ON 2--27—q5 <br /> AND. -BECAME ILL AT 3 : OOPM . NEW YORK STYLE_ SAUSAGE CO SUNNYVALE CA <br /> 94089 WAS VOMITTING , CRAMPS AND DIARREAH . BROUGHT TO ST JOSEP <br /> HS HOSPITAL EMERGENCY ROOM AT 12 :OOAM 2/28/95 DIAGNOSED BY ATTENDING PHYS <br /> ICIAN AS HAVING FOOD POISONING . RELEASED FROM ST JOSEPHS ABOUT 4:QOAM ON <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF SUOUV isorS/City Ccouncil C-Ceunter M-Mail/Correspondence <br /> O-Other EH Unit P-phone <br /> COMPLAINT STATUS: <br /> 0I-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 # if complaint in-another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q II III IV for Investigation <br />