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CO0012340
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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CO0012340
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Entry Properties
Last modified
11/19/2024 10:20:59 AM
Creation date
2/7/2019 12:41:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0012340
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
6/1/1999 12:00:00 AM
SITE_LOCATION
1950 W 11TH ST
RECEIVED_DATE
6/1/1999 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\1950\CO0012340.PDF
Tags
EHD - Public
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Date run : 06/01/ SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> . <br /> Run by : CAROLD Page # 1 <br /> Ct4py„ #;, : 01 of 0 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0012340 Program/Element : 1619 <br /> Taken by : 6519 DISA Date: 06/01/99 Assigned to : 3497 OUINLIN Date: 06/01/99 <br /> Hard copy Printed: <br /> Facility Name : SAFEWAY STORES #1264 Fac ID 002980 <br /> BILL to inventoried FACILITY: <br /> Location: 1950 W 11TH ST (Must have FACILITY ID#) <br /> Complainant : <br /> <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : SAFEWAY STORES #1.264 Loc Code : 03 <br /> Address : 1950 _W.. 11TH ST BOS Dist 005 <br /> City : TRACY 95376 APN # <br /> Phone : 209-239-9327 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : SAFEWAYINC Home Phone : 209-239-9327 <br /> ... <br /> Address : 474-00 KATO RD Work Phone : 209-239-9327 <br /> City : FRE_MONT CO 94537 <br /> Nature of Complaint: <br /> BOUGHT RIBS ON 05--28-99 , EXPIRATION DATE WAS 06-01-99 WHEN SHE OPENED <br /> THEM THEY WERE SPOILED THIS IS THE SECOND TIME THIS HAS HAPPENED . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: LIV <br /> 01-Field Abated o2-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 , 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date= <br /> Circle appropriate Urr,t q if complainntt in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> rorwarac' ai <br /> UNIT:/ �/ II III IV for Investigation <br />
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