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CO0009243
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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1600 - Food Program
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CO0009243
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Entry Properties
Last modified
10/15/2020 9:33:57 AM
Creation date
2/7/2019 12:07:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0009243
PE
1625
FACILITY_ID
FA0006409
FACILITY_NAME
EL GRULLENSE (TAQUERIA)
STREET_NUMBER
1347
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
ENTERED_DATE
10/27/1997 12:00:00 AM
SITE_LOCATION
1347 S EL DORADO ST
RECEIVED_DATE
10/24/1997 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\EL DORADO\1347\CO0009243.PDF
Tags
EHD - Public
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Date run: 10/27/9/ bRN JU0wu LN t L/Q" I I Page # 1 <br /> Run by = CAROL D�� <br /> Copy _#� = 01 of 1 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0009243 Program/Element = 1600 <br /> Taken by : 9051 OSULLIVAN Date: 10/24/97 Assigned to : 0794 MATHEW Date: 10127197 <br /> Hard copy Printed: <br /> Facility Name EL _GRULLNSE.._�._ AgUERTA. Fac ID : 006409 , <br /> BILL to inventoried FACILITY: <br /> Location: 1.347,-_S__.EL ,DORADO„-,.ST. {Must have FACILITY ID4} <br /> Complainant: PAUL .......... Home Phone: <br /> Address: .......Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: EL _GRULL;ENSE._._(,.TAQUER.LA..)...... <br /> _....._.-..............._..__......_............_....._. _..__... .._...__......_.._Lac Code : 01.. <br /> Address: 1347._5......E..L_.DORA©©....._ST.._..._ ................................_........_.._.._.__._......._._......_._.-....._.__._...._........._......_BOS Dist : 001_ <br /> City: STOCK?*N 95206 APN # : <br /> Phone- 209--463--9242 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: GUERRERO.A......_RAMON..._..........................._......_._._............_...._.........................__..._............_....__.._Home Phone: 209-463- 6390 <br /> Address: 1327.._,.,-.._S„,WILS©N,,,,_WY_......__..__......_......_........._......-._..._................-._.....-..._. .........Wor k Phone: 209-463-6390 <br /> City : STQCKTON CA 95205 <br /> Nature of Complaint: <br /> PEOPLE ( EMPLOYEE 'S ) AT THE DRIVE THUR WINDOW HANDLE MONEY THEN FOOD <br /> WITH OUT WASHING HANDS . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Nail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: DISK <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued DS-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date: <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> forwarded to UNIT: Q II III IV for Investigation <br />
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