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CO0046184
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLOVER
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775
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1600 - Food Program
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CO0046184
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Entry Properties
Last modified
8/8/2022 3:42:35 PM
Creation date
9/12/2018 9:02:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0046184
PE
1600
STREET_NUMBER
775
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21418016
ENTERED_DATE
4/4/2018 12:00:00 AM
SITE_LOCATION
775 W CLOVER RD
RECEIVED_DATE
6/12/1991 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SHORT TERM RECORD <br />DST: (,Q+ PROGRAM: il,300 <br />PREMISE 775 W CLOVER ROAP <br />DBA TRACY (UNINCORPORATED CITY) STATUS= <br />OWNER /OPERATOR URGENT <br />PHONE <br />ADDRESS <br />DATE <br /> <br /> �.... <br />TENANT (71PJCK E CHEESE RESTAURANT PHONE W09) 835-1797 <br />COMPLAINT - ON 6/11/91 BETWEEN 6-6:30 P.M. 4 PEOPLE ATE PEP <br />PERONI PIZZA, SALAD AND PEPSI - FAMILY BECAME ILL <br />LLQ AT 11:30 P.M. -Rl� (21 YRS. & 9 MO. PREGNANT) <br />HAD VOMITING, k BURNING STOMACH - (26 YRS.) H <br />AD DIARRHEA &. VOMITING, BODY ACHED ALL OVER - , <br />�j/�� i t C'rec tst uc6, NOiv+6 �c�a 1J, AGuo �i Q <br />V 0,4,i! 4—f kcXr t <br />06-12-1991 NO. 91087f <br />I <br />MAIL NAI <br />DATE BY <br />REFERRED TO: <br />DATE <br />ABATE NOTICE <br />DATE BY <br />TRANS / PREM. FI E <br />DATE 3 <br />DATE ABATED <br />C <br />I E. <br />
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