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Date run: 01/21/99 AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 95104 <br /> Run by = CAROLD� Page # 1 <br /> COFiy # } » 01 of COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0011565 Program/Element » 1625 <br /> Taken by : 6519 DISA Date: 01/21/99 Assigned to : 2282 R6� Date: 01/21/99 <br /> Hard copy Printed: [- <br /> Facility Name: DEL..,_,TACQ. Fac ID: 09.7973. 1. <br /> BILL to inventoried FACILITY: <br /> Location: 678,..N._...WILSON ,WAY, (Must have FACILITY IDO) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info <br /> DBA or Name : DEL......T_ACO.. ................_................................._. .. Loc Code : 0.1. <br /> Address : 678.__,N...._W_1,LSClN....._WAY_..................................... ........................._....................SOS Dist <br /> city, STQCKpN, 95205 APN # » <br /> Phone : 209-941-4507 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: SPINCO LLC Home Phone : 209-543--8182 <br /> Address: 3900 PELANDALE AVE. Work Phone: <br /> ..._..........._.... <br /> City, MQDESTO. CA 95356 <br /> Nature of Complaint: <br /> BOUGHT TACO 'S ATE ONE BUT THE MEAT SMELLED BAD DID NOT EAT THE SECOND <br /> ONE . ATE ABOUT 2»00 PM STOMACH CRAMPS ABOUT 2 :30 PM , STOMACH STILL <br /> UPSET . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: 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 Abated 02-Office Abated 03-NAI Sent 04-No to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise File 07-Refer to Other Agency 08- of Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Referral Letter Sent by : _ Date : <br /> Circle appropriate Unit I if comp lai t in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I 11 III IV for Investigation <br />