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CO0003785
EnvironmentalHealth
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BENJAMIN HOLT
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1600 - Food Program
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CO0003785
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Entry Properties
Last modified
11/24/2020 4:47:39 PM
Creation date
1/30/2019 2:35:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0003785
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
5/5/1995 12:00:00 AM
SITE_LOCATION
3201 W BENJAMIN HOLT #91
RECEIVED_DATE
5/5/1995 12:00:00 AM
P_LOCATION
01
QC Status
Approved
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ADMIN
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0003785.PDF
Tags
EHD - Public
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��tm rwn�� SAN JOAOUTM COUNTv PUELTr HEALTH '�ERVI(- Report 05104 <br /> Run by ; m�� <br /> Copy-# : 01 u^/ -1 COMPLAINT INVESTIGATION REPORT page # 2 <br /> Taken by - 9051 MARY OSULLIVAN Date: 05/05195 Assigned to 0794 RAJU MATHEW Date: 0510S/95 <br /> Hard copy PyiRted� <br /> Facility Name: __ Fac IO : <br /> Location- W HOLD, ' <br /> 8D-L to inventoried FACILITY' <br /> 32�� � <br /> Must hav0 <br /> � F�CILl�Y 9) ------ <br /> Complain�n� � M�����ET l�ELL� <br /> ' - - - Hmm� Phone— <br /> ��----�--- --- --- ' <br /> l�or � Ph�ne � ZQ��47 <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name:. RO�N�.�T <br /> _Lo� Code <br /> Addresa�� ���l{>�_��_1��N_1�O�T _----_-_---' �---'.''_- ---- -��OS Dist � <br /> �ity' - — ------- <br /> ' �L�� "L0 APN # : <br /> Phone : <br /> . <br /> BTLLING RESPONSIBLE PARTY or OWNER Info - <br /> Name ' <br /> . _______ ome Phone : <br /> AddreSS ' �--� \ <br /> , _ ........... .................. __--........... - ................ Work Phone: / <br /> oity � <br /> Nature ofcozpdai/t: <br /> SALAD BAR-HAS ROTTEN OLD FOOD-FUNGAS GROWING ON GREEN 8EANS , SLIME ON <br /> CARROTS , MOLD , TOLD EMPOLOYEE SHE WAS TOLD THAT THEY ARE PLANNING TO <br /> PLANNING TO PUT FRESH FOOD IN LATER . BUT C0MPAINANAT UPSET THAT THE AREA <br /> IS VER\Y DIRTY - <br /> COMPLAINT Info - <br /> ~,�~ <br /> COMPLAINT MODE: <br /> A-0onoy R*forml Supervisors/City Ccooncil C-Counto/ M'MuiDCorrespondonce <br /> O-Othe, P, Unit P'Phono <br /> 0H9L4INT STATUS- <br /> SI'Field Abated 02-Office Abated 03-NAI 58nt 04'Notbw to Abate Issued 05'Exhxnw ACT Inb�xted <br /> 06-Tra,ahn to oTomiap 5ile 0-Refer to Other Agency 08'Not Valid 09'Fno hurnv lliooas <br /> ' <br /> Cirrla aPProyriato Unit 9 if *umpiaint in another PROGRAM juriedictiun. H8vo Complaint Roon d and P/[ updated <br /> Forwarded b UNIT II TIT IV �o lnw�tiVadoo <br />
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