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CO0030697
EnvironmentalHealth
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BENJAMIN HOLT
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1600 - Food Program
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CO0030697
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Last modified
11/24/2020 4:46:51 PM
Creation date
1/30/2019 2:36:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0030697
PE
1600
FACILITY_ID
FA0001793
FACILITY_NAME
CASA FLORES
STREET_NUMBER
3201
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10017009
ENTERED_DATE
7/22/2009 12:00:00 AM
SITE_LOCATION
3201 W BENJAMIN HOLT DR STE 155
RECEIVED_DATE
7/21/2009 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
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FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0030697.PDF
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EHD - Public
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-0;;**1f4 Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00030697 Site Location: 3201 W BENJAMIN HOLT DR STE 1E AccountlD: AR0001793 <br /> Received by: EE0000001 TURKATTE Received Date: 7/21/2009 Print Date: 7/22/2009 9:04:10AM <br /> Assigned To: EE0000149 BORGES Assigned Date: 7/22/2009 <br /> Pro ratWElement Code:1600-FOOD PROGRAM <br /> Complainant. : <br /> <br /> <br /> Nature of cam laint. <br /> FLIES IN KITCHEN,RESULTING IN FLIES IN THE FOOD. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> ------------------ --------------- <br /> FACILITY <br /> ---- ------ ----FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001793-CASA FLORES Owner: OW0012779-CRUCES FLORES LLC <br /> Site Location 3201 W BENJAMIN HOLT DR STE 155 RP/DBA CASA FLORES <br /> STOCKTON,CA 95219 RP Address 9028 BRIDALVEIL CIR <br /> Cross Street STOCKTON,CA 95212 <br /> Mailing Address: 3201 W BENJAMIN HOLT DR STE#155 Billing Address 9028 BRIDALVEIL CIR <br /> STOCKTON,CA 95219 STOCKTON,CA 95212 <br /> Nome Phone :209-993-5326 <br /> Phone :209-451-1116 Work Phone :209-451-1116 <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON <br /> AP1V 10017009 17/ <br /> Date Abated <br /> a inspector.. <br /> — ———— --- ,--- --- ---- <br /> zq <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: i <br /> I <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 14-ENFORCEMENT CASE-Transferred to ER FILE <br /> 02-OFFICE ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 03-NAI SENT 16-LETTER SENT TO TENANT <br /> 04-NOTICE TO ABATE ISSUED 17-15 DAY LETTER SENT <br /> 05-ENFORCEMENT ACTION INITIATED 18-ENFORCEMENT CASE-Transferred to VECTOR CONTROL FILE <br /> OREFERRED <br /> EHD PERMIT FACILITY-see Linked PROGRAM FACILITY FILE 19-ENFORCEMENT CASE-Transferred to WELL PROGRAM FILE <br /> TO OTHER AGENCY 20-ENFORCEMENT CASE-Transferred to UIC PROGRAM FILE <br /> 08-UNABLE TO VERIFY 28-FOODBORNE ILLNESS-Unconfirmed i No Major Violations <br /> 09-FOODBORNE ILLNESS 29-FOODBORNE ILLNESS-Major Violations Identified Complaint History <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File 30-15 Day Letter Sent-Confirmed Complaint Attached But Not <br /> 11-Multiple Complaints-SEE ACTIVE CASE# 31-15 Day Letter Sent-Alleged Complaint Scanned <br /> 12-ENFORCEMENT CASE-Transferred to LIQUID WASTE FILE 50-LEAD Assessment Performed-No Abatement Required <br /> 13-ENFORCEMENT CASE-Transferred to SOLID WASTE FILE 52-LEAD Abatement Reqired-See Program Record File i <br /> -i <br /> I <br /> 51 _rpt <br />
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