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CO0002590
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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1600 - Food Program
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CO0002590
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Last modified
11/24/2020 4:47:39 PM
Creation date
1/30/2019 2:35:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0002590
PE
1625
FACILITY_ID
FA0001793
FACILITY_NAME
ROUND TABLE PIZZA
STREET_NUMBER
3201
Direction
W
STREET_NAME
BENJAMIN HOLT
City
STOCKTON
Zip
95219
ENTERED_DATE
9/20/1994 12:00:00 AM
SITE_LOCATION
3201 W BENJAMIN HOLT #91
RECEIVED_DATE
9/19/1994 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0002590.PDF
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EHD - Public
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Date r'un" 09/20/94 SAN JOAQUIN COUNTY PUBLIC 'HEAL_TH" SERVIC Report #5114 <br /> Run Tay c CAROLINE Page # 1 <br /> Copy # - - 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0002590 Program/Element <br /> Taken by : 2115 CAROLINE NASCIMENTO Date: 09/19/94 Assigned to : 0369 ALAN BIEDERMANN Date: 09/19/94 <br /> Facility Name: ROUND - . . . . . <br /> BILL to inventoried FACILITY: <br /> Location: 3.2.01.............. HOLT..,,.,#9.1_ (Must have FACILITY ID#) <br /> Complainant: ANNON_.LETTER/NTA............................................ ... Home Phone: <br /> Address : _.._._.............. Wor k Phone : <br /> FACILITY LOCATION/Property Info — <br /> c, 31 (� <br /> DESA or Name : ROUND......TABL:E....._P.I_ZZA._......_._.................................. ..r�I~. _.......... .._....._ <br /> ....._.Loc Code : 0.1_ <br /> Address: 320.1......_W._...BENJAM.I.N......HOLT......._........._...._....__..._.._..._.....................__......................_.....__..................._..........BOS Dist : 003 <br /> City: STOCKTON 9. 5219 APN # : <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : H & H PIZZA INC Home Phone : <br /> -................__...__...._............__.........._........_..............................................�..............._.-.........._...._...................._.........._................._ <br /> Address : 628..._.CEEv.TRAL;....._......_._...._..........................:............_............._._._....._...._...._..............._........._......_............Wor k Phony <br /> City : TRACY CA 95376 <br /> Nature of Complaint: <br /> EMPLOYEE BOUGHT LETTUCE FROM KITCHEN ,TORE UP W/BARE HANDS ,MGR ,YANCY <br /> STATED IT WAS "NORMAL" THAT NOBODY USED GLOVES TO PREPARE FOOD/PIZZA <br /> PLEASE SEE ATTACHED LETTER via MAIL . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: M MAIL/CORRESPONDENCE <br /> A-Agency Referral B-80 OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: Q.„?� <br /> 01-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-Nat Valid 09-Foodborne Illness. <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 IIT IV for Investigation <br />
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