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CO0036176
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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CO0036176
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Entry Properties
Last modified
11/24/2020 4:46:25 PM
Creation date
1/30/2019 2:36:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0036176
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
3/25/2013 12:00:00 AM
SITE_LOCATION
3201 W BENJAMIN HOLT DR
RECEIVED_DATE
3/25/2013 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0036176.PDF
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EHD - Public
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COMPLAINT ID: C00036176 <br /> ,assigned To: EE0004636-BACKUS Site Location: 3201 W BENJAMIN HOLT DR <br /> INVESTIGATION REPORT <br /> Detail all progress report(s)chronologically. List dates,times,types of notices. Describe conditions and actions taken. Attach all pertinent paperwork to <br /> this report <br /> Inspector: +_r.�c., •�'c, Q �� L,e•�'!_ ,•- jc6j= -S .6�7,-t<., <br /> C <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> omp aint Reviewed by: aig: , p ale y: ate: <br /> r C1 <br /> 5104.rpt <br />
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