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CO0046397
EnvironmentalHealth
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1600 - Food Program
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CO0046397
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Entry Properties
Last modified
9/13/2022 8:19:15 AM
Creation date
9/25/2018 10:39:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0046397
PE
1600
STREET_NUMBER
1616
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
Stockton
Zip
95210
APN
09428011
ENTERED_DATE
4/19/2018 12:00:00 AM
SITE_LOCATION
1616 E HAMMER LN
RECEIVED_DATE
12/20/1991 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Complaint Investigation Form <br />COMPLAINT ID: C00046397 Site Location: 1616 E HAMMER LN <br />Received by: EE0000025 SEDRA <br />Assigned To: EE0000753 NG <br />Received Date: 12/20/1991 <br />Assigned Date: 4/19/2018 <br />Report #: 5104 <br />Account ID: : <br />Print Date: 4/19/2018 l 0:21:18AM <br />Program/Element Code: 1600 - FOOD PROGRAM <br /> <br /> <br /> <br />Na <br />ure of comWaint: <br />THIS COMPLAINT WAS FOUND IN FILE CABINET AND ALLEGES "BOUGHT BONELESS COUNTRY SPARE RIBS ON 12/18/91, COOKED ON <br />12/19/91. BEGAN EATING AND FOUND A SEWING NEEDLE THAT CAUSED AN ADULT TO START CHOKING, THE NEEDLE GOT STUCK ON <br />PERSONS GUM IN THE MOUTH." ORIGINAL COMPLAINT NUMBER 91-2245 DATED 12/20/1991 (GIVING IT AN ENVISION COMPLAINT NUMBER <br />TO HAVE IN DATABASE FOR FUTURE REFERENCE). <br />Complaint Mode: P Complaint Mode Codes A -Agency Referral B-Bd of Supervisors / City Council C -Counter F -Fax <br />E -Code Enforcement M -Mail / Correspondence O -Other EH Unit P -Phone <br />1-Intemet / Email S -Sheriffs Office <br />PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br />Property Name: COSTCO <br />Site Location 1616 E HAMMER <br />STOCKTON, CA 95210 <br />Cross Street WEST LANE FRONTAGE <br />Phone <br />District 002 - MILLER, KATHERINE <br />APN 09428011 <br />Responsible Party or Property Owner <br />RP/DBA <br />RP Address <br />Billing Address <br />Home Phone <br />Work Phone <br />Location Code 01- STOCKTON <br />Date Abated C _ J :r Inspector ID <br />Send Referral to Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Code: <br />Circle appropriate Status Code <br />01 - Field Response -Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />C"-• UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 -Tank pumped <br />S2 - Hooked up to public sewer <br />S3 - Septic system repaired <br />omp amt Reviewed by:f <br />r at ate <br />pate y: <br />i7 <br />5104 rpt <br />
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