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CO0007060
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1950
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1600 - Food Program
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CO0007060
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Last modified
11/19/2024 10:20:59 AM
Creation date
2/7/2019 12:41:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0007060
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
10/16/1996 12:00:00 AM
SITE_LOCATION
1950 W 11TH STREET
RECEIVED_DATE
10/16/1996 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\1950\CO0007060.PDF
Tags
EHD - Public
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Repor <br /> ry pate run 10/16/ 36 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Page 17 <br /> Run by = KARENC <br /> Copy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # 00007060 Pr-ogram/Element 1619 <br /> Taken by : 0794 RAJU MATHEW Date: 10/16/96 Assigned to 9157 MWRt,-8 LABI<F LLOOS sate: 10/16196 <br /> Hard copy Printed: <br /> F`a`cility Name: SAFW.AY...,..STORES. #,x..264 Fac ID. OA2980 <br /> BILL to inventoried FACILITY: <br /> Location- ._950. w_.-_...._�._ _TH._. TT._......_T_RAY. (Must have FACILITY IDO) <br /> Complainant <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: Loc Code <br /> Address: BOS Dist <br /> City • <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : ....... . <br /> ..........Home Phone <br /> Address = _-Work Phone: <br /> City : ._.... <br /> Nature of Complaint: <br /> SLICING LUNCH MEATS &. UNCOOKED MEATS ON THE SAME SLICER WITHOUT <br /> CLEANING IN BETWEEN . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: tJ <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise file 07-Refer to Other Agency QR-.ot Valid 09-Foodborne Illness <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: iI III IV for Investigation <br />
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