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CO0003785
EnvironmentalHealth
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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
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0003785.PDF
Tags
EHD - Public
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COMPLAINT # = 00003785 <br /> Location :ns ctor ; P iWi MATHEW Date - 05/05/g5 <br /> e <br /> --_-e 3214 W BEN HOLD <br /> COMKENTS <br /> date <br /> #5 : <br /> date�I /— by: <br /> date_�_�_/ by; <br /> #61 <br /> date..'/_ by: <br /> date / by: <br /> #! : <br /> dat°�! 1____ by. <br /> date I /� by; <br /> date—/_I— by: <br /> date /_/_ by: <br /> date___-_'!......_ by: <br /> date /-/- by: <br /> date by: <br /> f f <br /> Resolver/Abated by: Name . /�✓� Datea <br /> violations: <br /> Enforcement: <br /> ORRESPONDENC£ g LEGAL DATES - <br /> NOTICE TO ABATE sent T-- ._ ` �� Office Hearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> _ riYe Dart '_�_ _ PolicelSherif# Dept Building/Housing Dept ! 1 <br /> DH Nursing ____'�l_ Animal Control _/-1 District Attorney s <br /> _ State ODW / /— Planning Dept <br /> Cal-EPA OTSC and/or RWCCB _l—/_-___ — Public Works Dept I I <br /> Third Party Billing information: <br /> lue; C/O: <br /> Address: <br /> City, State: ZIP. <br /> Reviewed by: (7Date: /—Z/ <br /> omplai ntcord Updated By , [date= �� c <br /> Revised Report i5144 11/23/94 <br />
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