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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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COW AINT ID: C00013908 <br /> Assigned To: EE0002685-BOOTH Site Location: 25520 E HWY 4 <br /> INVESTIGATION REPORT <br /> Detail all progress report(s)chronologically. List dates,times,types of notices, names address and phone numbers of people involved. <br /> Describe conditions and actions taken. Attach all pertinent paperwork to this report. <br /> r / � <br /> Date: 019 <br /> Inspector. G T <br /> Date: <br /> Inspector: <br /> i <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> I <br /> Date: <br /> Inspector: <br /> r <br /> omolaint Reviewed bv: ACT <br /> Date: i Updated by: Date: <br /> 0104.rpt <br />
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