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CO0005363
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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14000
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1600 - Food Program
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CO0005363
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Entry Properties
Last modified
11/20/2024 9:22:59 AM
Creation date
2/7/2019 11:16:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0005363
PE
1617
FACILITY_ID
FA0004659
FACILITY_NAME
LOCKEFORD FOOD MART
STREET_NUMBER
14000
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01907021
ENTERED_DATE
1/17/1996 12:00:00 AM
SITE_LOCATION
14000 E HWY 88
RECEIVED_DATE
1/17/1996 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
FilePath
\MIGRATIONS\E\88 (HWY 88)\14000\CO0005363.PDF
Tags
EHD - Public
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Date run: 01./17/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SE:.RVIC Report 45104 <br /> Run by MARYb/0 Page # 6 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0005363 Program/Element : 1600 <br /> Taken by : 0740 BRUCE ASKANAS Date: 01/17/96 Assigned to : 0740 BRUCE ASKANAS , Date: 01/17/96 <br /> Hard copy Printed: <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location= 1,4000 HWY 88. (Must have FACILITY IDI) <br /> <br /> : <br /> FACILITY LOCATION/Property Info -- <br /> DESA or. Name: JACKPOT.....FOOD,.......:._.. Loc Code <br /> .............................._................_........_._._..__...._._._.__...._...._..._..-----------. .. .. <br /> Address: 14000..._.HWY....._88...._.............._.._.........................._......._._.............__........_........._............._............._.......................__...........,........_EGOS Dist <br /> city = APN # : <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> a Name: Home Phone: <br /> Address: Work Phone: <br /> ti City : <br /> Nature of Complaint: <br /> FIRE AT FACILITY <br /> URGENT <br /> COMPLAINT Info — <br /> COMPLAINT MODE: 0 OTHER EH UNIT <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPS TUS: <br /> 01-Field Abat 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued OS-Enforce ACT Initiated <br /> er to Premise File 07-Refer to Other Agency OB-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit I if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> Forwarded to UNIT: II III ' IV for Investigation <br />
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