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CO0002155
EnvironmentalHealth
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1600 - Food Program
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CO0002155
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Last modified
9/13/2022 8:19:25 AM
Creation date
2/8/2019 9:38:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0002155
PE
1625
FACILITY_ID
FA0004137
FACILITY_NAME
ARBYS
STREET_NUMBER
1764
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
Stockton
Zip
95210
ENTERED_DATE
6/30/1994 12:00:00 AM
SITE_LOCATION
1764 E HAMMER LN
RECEIVED_DATE
6/27/1994 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1764\CO0002155.PDF
Tags
EHD - Public
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r. ------------ <br /> Date run: 06/30/94 SAN JOAQUIN COUNTY PUBLIC HEALTH 3ERVIC Report 05104 <br /> Run by CAROLINE <br /> - <br /> Copy 0 : 01 of 01 COMPLAINT INVESTIGATION REPORT Page # 1 <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM.MMM <br /> COMPLAINT 0 : 00002155 Program,Element 1600 <br /> Taken by : ' 6976 AL OLSEN Date: 06/30/94 Assigned to : 0102 <br /> STEVE MINDT Date: OS/ 0!94 <br /> Facility Name: ARBYS Fac ID: 004137 <br /> BILL to inventoried FACILITY: <br /> Location: 1764 £ HAMMER LN (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> FACILITY LOGAnom/Property Info - <br /> DRA or Name: ARBYS Loc Code 99 <br /> Address: 1-764 E HAMMERLANE BOS Dist 004 <br /> City: STOCKTON 95210 APN # <br /> Phone: 209-952-9043 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: RASHEED MOHSIN Home Phone: <br /> Address: Work Phone: <br /> City: <br /> Nature of Complaint: <br /> ANTS CRAWLING ON FOOD ON COUNTER/COMING FROM OUTSIDE OF FACILITY.. <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: <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 it 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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