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CO0012573
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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CO0012573
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Last modified
11/24/2020 4:46:41 PM
Creation date
1/30/2019 2:35:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0012573
PE
1623
FACILITY_ID
FA0007126
FACILITY_NAME
WONG'S DELI
STREET_NUMBER
3201
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
ENTERED_DATE
7/8/1999 12:00:00 AM
SITE_LOCATION
3201 W BENJAMIN HOLT DR 99
RECEIVED_DATE
7/8/1999 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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ADMIN
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FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0012573.PDF
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EHD - Public
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a !(,)g SAI 70AOVIN COUNTY PJBLIC HE?LTH SERdIC Report #5104 <br /> b� <br /> Run , CAROLD Page # 6 <br /> Cu y, t! 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0012573 Program/Element. : 1623 <br /> Taken by : 7822 BEGLEY Date: 07/08/99 Assigned to : 0467 CARRUESCO Date: 07/08/97 <br /> Hard copy Printed: <br /> Facility Name : WONG 'S DELI Fac ID : 007126 <br /> BILL to inventoried FACILITY: <br /> Location- 3201 W BENJAMIN HOLT DR 99 (Must have FACILITY ID#) <br /> Complainant : <br /> <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : WONG 'S DELI Loc Code : 01 <br /> Address : 3201 W BENJAMIN HOL_ I DR `09 BOS Dist : 002 <br /> City: STOCKTON 95219 APN # <br /> Phone : 209-952-6886 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : WANG , CHUN FON Home Phcme : 209 -478-8154 <br /> Address: 2323 HAMMERTOWN DR Work Phone: 209-952-6886 <br /> City : STOCKTON CA 95210 <br /> Nature of Complaint: <br /> ORDERED TAKE OUT FOOD LAST NIGHT , WENT TO RE—HEAT LEFT OVERS AND <br /> FOUND A BIG COCKROACH IN THE FOOD . COMPLAINANT HAS QUESTIONS AND WANTS <br /> TO SPEAK: TO AN INSPECTOR A .S .A .P . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other] EH Unit P-Phone <br /> qv", pn4r CTpnJs, 45 V <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT '.nitiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: ---------- ------ <br /> Referral Letter Sent by : _ _..._.._,._ _ Date : _ <br /> Circle aoProoriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: D II III IV for Investigation <br />
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