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CO0000408
EnvironmentalHealth
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1600 - Food Program
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CO0000408
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Entry Properties
Last modified
9/13/2022 8:19:22 AM
Creation date
2/8/2019 9:35:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0000408
PE
1619
FACILITY_ID
FA0001705
FACILITY_NAME
COSTCO
STREET_NUMBER
1616
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
Stockton
Zip
95210
ENTERED_DATE
8/4/1993 12:00:00 AM
SITE_LOCATION
1616 E HAMMER LN
RECEIVED_DATE
8/4/1993 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1616\CO0000408.PDF
Tags
EHD - Public
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` -NeviseaReport #5104 718/93 <br /> �1y <br /> Date run : 08/04/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #3104 <br /> Run by : ROSEMARY Page # 3 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # C0000408 Program/Element 1."e <br /> Taken by : 0519 ROSEMARY FLORES Date: 08/04/93 Assigned to Date: 08/D4/93 <br /> _7 <br /> Facility Name: COSTCO Fac ID: 001705 <br /> BILL to inventoried FACILITY: _ <br /> Location: 1616 E HAMMER LN (Must have FACILITY ID#) W fi <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info — <br /> I <br /> DBA or Name: COSTCO Loc Code : 01 <br /> Address: 1616 •E HAMMER LN BOS Dist : 002 <br /> City: STOCKTON 95210 APN # <br /> Phone: 209-478-2040 <br /> OWNER Info — BILLING Party: ; <br /> Owner/Agent: COSTCO WHOLESALE CORPORATION Home Phone: <br /> Address: 1616 E HAMMER LN Work Phone: F <br /> City: STOCKTON CA 95210 <br /> Nature of Complaint: <br /> BOUGHT CROSSIANTS ON 8/3/93 AND FOUND LIVE LITTLE BROWN BUGS IN THEM — <br /> POSSIBLY NATS — <br /> r <br /> COMPLAINT Info — <br /> r <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: <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 08-Not Valid 09-Foodborne Illness } <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br />
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