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CO0016955
EnvironmentalHealth
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1600 - Food Program
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CO0016955
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Entry Properties
Last modified
8/17/2019 4:02:40 AM
Creation date
1/30/2019 3:46:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0016955
PE
1624
FACILITY_ID
FA0001458
FACILITY_NAME
EL GRULLENSE #6
STREET_NUMBER
1360
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95209
ENTERED_DATE
12/28/2001 12:00:00 AM
SITE_LOCATION
1360 E ALPINE AVE
RECEIVED_DATE
12/28/2001 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\A\ALPINE\1360\CO0016955.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00016955 Site Location: 1360 E ALPINE AVE Account ID: AR0001457 / <br /> Receivedby: EE0006519 DISA Receiver/Date: 12/28/2001 �f <br /> Assigned To: EE0000321 OLIVEIRA Assigned Date: 12/28/2001 <br /> Prooran✓Elemenf Code: 1624-RESTAURANT/BAR 21-50 SEATS <br /> Complainant: TERESA Home Phone: <br /> Address: Work Phone: 209-463-3875 <br /> Nature of complaint: <br /> PERSON MAKING FOOD AND TAKING MONEY,SHE ALSO HAD A DIRTY BAND AID ON FINGER.ALSO SAW A COCKROACH. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0001458-EL GRULLENSE#6 Owner: OW0001280-GUERRERO,ALICIA <br /> RP/DBA: EL GRULLENSE <br /> Site Location: 1360 E ALPINE AVE RP Address: 3906 4TH ST <br /> STOCKTON,CA 95209 <br /> STOCKTON,CA 95205 <br /> Mailing Address: 3906 E 4TH ST <br /> STOCKTON,CA 95205 Billing Address:: 3906 4THST <br /> STOCKTON, <br /> CA 95205 <br /> Phone:lst: 209-465-6210 Phone: Hm: 209-463-5238 <br /> Wk: 209-462-3425 <br /> District 001 -GUTIERREZ,STEVE Location Code 99-UNINCORPORATED AREA <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <br /> 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT 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 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> SReferred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08- nvalid/Unable To Vedfy 51 -Lead Hazard Work Plan Submitted(2) <br /> Foodbome Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 0104 rpt <br />
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