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CO0013908
EnvironmentalHealth
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4 (STATE ROUTE 4)
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25520
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1600 - Food Program
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CO0013908
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Entry Properties
Last modified
11/20/2024 9:09:11 AM
Creation date
2/7/2019 9:39:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0013908
PE
1616
FACILITY_ID
FA0000067
FACILITY_NAME
FARMINGTON GENERAL STORE
STREET_NUMBER
25520
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
Zip
95230
ENTERED_DATE
4/10/2000 12:00:00 AM
SITE_LOCATION
25520 E HWY 4
RECEIVED_DATE
4/7/2000 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\F\4 (HWY 4)\25520\CO0013908.PDF
Tags
EHD - Public
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� v Report#:5104 <br /> Complaint Investigation Form <br /> COMPLAINT ID: C00013908 Site Location: 25520 E HY 4 Account!D: AR0000066 <br /> W <br />,k Received by. EE0002685 BOOTH Received Date: 4/7/2000 <br /> I Assigned To: EE0002685 BOOTH Assigned Date: 417100 <br /> program/Element Code: FOOD PROGRAM 9�1� <br /> Complainant: <br /> <br /> I <br /> Nature of complaint: <br />' 91RDS ARE BEING KEPT IN CAGES INSIDE THE STORE <br /> i <br /> Complaint Mode Complaint Mode Codes A-Agency Refers B-Bd of Supervisors/Cit) C-Count( E-Code Enforcem( <br /> M-MaillCorrespondi O-Other EH Unit P-Phone <br /> i <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000067-FARMINGTON GENERAL STORE OW0000056-LADIGES, ROBERT CIANTOINETTE K <br /> Site Location: 25520 E HWY 4 DBA: FARMINGTON GENERAL STORE <br /> FARMINGTON,CA 95230 RP Address: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Wk: <br /> District. 003-SIMAS, EDWARD Location Code. 99-UNINCORPORATED AREA <br /> APN: <br /> Date Abated.- <br /> Inspector <br /> Send Referral to: <br /> Referral Letter Sent by.- <br /> Referral <br /> y.Referral Address: Date: <br /> Complaint Status Code: _ <br /> t 01 -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> i <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 /> 07-Referred To Other Agency 53- Lead Hazard Usual Inspect Satisfactory (4) <br /> 08-Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodborne 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 WlSoil 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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