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CO0001247
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1600 - Food Program
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CO0001247
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Last modified
9/13/2022 8:19:07 AM
Creation date
2/8/2019 9:35:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0001247
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
1/3/1994 12:00:00 AM
SITE_LOCATION
1616 E HAMMER LANE
RECEIVED_DATE
1/3/1994 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1616\CO0001247.PDF
Tags
EHD - Public
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Date run: 01/03/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by SYLVIA j Page K 2 <br /> Cop)':# 9,1 of 01 COMPLAINT INVESTIGATION REPORT <br /> 4 MMIfM AfMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMhIMMMMMMMMMMMMMMMMMMMMMMAfMM <br /> COMPLAINT 9 (_ (O0012..47� Program/Element 1600 <br /> Taken by 7354 SYLVIA MARTINEZ Date: 01/03/94 Assigned to :.0102 STEVE MINOT Date: 01/03/94 <br /> Facility Name: COSTCO Fac ID: 001705 <br /> BILL to inventoried FACILITY: <br /> Location: 1616 E HAMMER LANE (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: COSTCO Loc Code 01 <br /> Address: 1616 E HAMMER LANE SOS Dist 002 <br /> City: STOCKTON 95210 APN 0 <br /> Phone: 209-478-2040 <br /> �i <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: LEGAL DEPT JILL HANSEN Home Phone: <br /> Address: 10809 120TH AVE Work Phone: <br /> City: KIRKLAND WA 98033 <br /> Nature of Complaint: <br /> - FROZEN MEAT WAS SITTING OUT IN A BASKET THEN THEY PUT INTO FROZEN FO <br /> OD AREA - <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccounoil C-Counter M-Mail/Correspondence <br /> 0-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 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />
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