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CO0003727
EnvironmentalHealth
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ELEVENTH
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1600 - Food Program
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CO0003727
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Last modified
11/19/2024 10:20:59 AM
Creation date
2/7/2019 12:41:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0003727
PE
1619
FACILITY_ID
FA0002980
FACILITY_NAME
SAFEWAY STORES #1264
STREET_NUMBER
1950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
ENTERED_DATE
4/27/1995 12:00:00 AM
SITE_LOCATION
1950 W 11TH ST
RECEIVED_DATE
4/26/1995 12:00:00 AM
P_LOCATION
03
QC Status
Approved
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ADMIN
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FilePath
\MIGRATIONS\E\ELEVENTH\1950\CO0003727.PDF
Tags
EHD - Public
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Date run' 04��7��5 SAN - A�UIN COUNTY PUBLIC HEALTH 5ERVIC Report 45104 <br /> ` -- - # 1 <br /> Run by CAROLIN vW <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION <br /> REPORT Page <br /> COMPLAINT # C0003727 Program/Element : 1600 <br /> Ta�er, by : 2115 CAROLINE NASCIMENTO Date: 04/26195 Assigned to : 5756 ERNESTO JACOBO Date: 04/26/95 <br /> Hard copy Printed: <br /> Fac I� ' �D����Facllity Name: ' <br /> BILL to inventoried FACILITY, <br /> Locatinn: (Nuat have FACILITY I0#) <br /> Complainant: ' <br /> <br /> <br /> - <br /> FACILITY <br /> _ <br /> _ <br /> FACILITY LOCATION/PropertY Info — <br /> DBA or Name : .Loc Code : O3 <br /> D� Diet 0..0 5.. <br /> Address : _' <br /> city . TRACY 95376 *Pm � ^ <br /> Phone. <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : ume Phone: <br /> Address ' Vrk Phone: <br /> City , F��MONT CA.. 94537 <br /> Nature of Complaint: ' <br /> DN 4/25/95 ,PURCHASED GROUND CHUCK <br /> — MEAT LIGHTER INSIDE THAN ON OUT— <br /> ON <br /> MEAT WHICH SHOWED THRU PACKAGING ; CMPLNT COOKED ZT "NEVER BECAME <br /> ILL , HOWEVER , CONCERNED IF THEY M1,GHT BE "RECYCLING" THEIR MEAT>—PLEASE <br /> CALL CMPLNT AFTER INSPECTION W/FINDINGS—ALSO HAS QUESTIONS RE : MEAT> <br /> COMPLAINT Info <br /> COMPLAINT MODE: P__PHON <br /> A-Agemy Raf rml 8-BD OF Sup mioom/City Cuo noil C'Coontm M-NaD/Corrooponden:e <br /> 0-Other EM Unit P'Phmm <br /> ~w~7' <br /> COMPLAINT STATUS: <br /> 01-Fiu\d Abated 02-0ffice Abated 03+NAI Sent 04'Noti:o to Abate Issued 05'Enfomo ACT Initiated <br /> 06'Tmnofor to Premise Filo (5)Refer to Other Agency 08-Not Valid 09-Fvodborno Illness <br /> \` <br /> Circle appvvp/iabo Unit # if complaint in another PROGRAM jurisdiction, Have Corpluint QemnJ and P/E updated <br /> Forwarded to . ��UNIT: �� II lIl IV for Investigation <br />
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