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CO0043809
EnvironmentalHealth
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1600 - Food Program
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CO0043809
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Entry Properties
Last modified
7/15/2020 10:34:54 PM
Creation date
2/8/2019 11:30:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0043809
PE
1600
FACILITY_ID
FA0012202
FACILITY_NAME
SAN JOAQUIN FOOD BANK
STREET_NUMBER
704
Direction
E
STREET_NAME
INDUSTRIAL PARK
STREET_TYPE
DR
City
MANTECA
Zip
95337
APN
22119027
ENTERED_DATE
7/14/2017 12:00:00 AM
SITE_LOCATION
704 E. INDUSTRIAL PARK DR
RECEIVED_DATE
7/14/2017 12:00:00 AM
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\I\INDUSTRIAL PARK\704\CO0043809.PDF
Tags
EHD - Public
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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00043809 Site Location: 704 E. INDUSTRIAL PARK DR AccountlD: AR0019649 <br /> Receivedby: EE0000025 SEDRA <br /> Received Date: 7/14/2017 Print Date: 7/14Y2017 I1:I8:42AM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 7/14/2017 <br /> Pmoram I m nt Codey600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS <br /> Home Phone 209-996-2152 <br /> Address <br /> Work Phone <br /> -Mail Address <br /> Nature ofcom /dint: <br /> COMPLAINANTALLEGESAFTER RECEIVED FOOD,COMPLAINANT FOUND MOUSE DROPPINGS IN WITH THE FOOD. <br /> Complaint Mode: p Complaint Motle Codes A-Agency Referral B- <br /> Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ———————————————— 1-Internet/Email S-Sherifrs Office <br /> PROPERTY INFORMATION -------------- <br /> OWNER INFORMATION <br /> Facility:FA0012202-SAN JOAQUIN FOOD BANK <br /> Owner: OW0009461-SAN JOAQUIN FOOD BANK <br /> Site Location 704 INDUSTRIAL PARK DR RPiDBA <br /> MANTECA,CA 95337 RPAddress 707INDUSTRIAL PARK DR <br /> Cmss Street <br /> Mailing Atldress: 704 INDUSTRIAL PARK DR MANTECA,CA 95337 <br /> Billing Address 704 INDUSTRIAL PARK DR <br /> MANTECA,CA 95337 MANTECA,CA 95337 <br /> Phone Home Phone :209-239-2091 <br /> Work Phone <br /> Dishict 005-ELLIOTT,BOB Location Code <br /> 04-MANTECA <br /> APN 22119027 <br /> ———Date Abated '��1—1 ——Inspector ID#- <br /> ----------- <br /> L <br /> ---------- <br /> Send ————————_ <br /> nd Referral to <br /> Refers/Address Referra/Letter Sent by <br /> Date., <br /> Complaint Status Code: CA <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> Ot-Field Response-Violations Cited and Corrected <br /> 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI- <br /> g Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Refferred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved- <br /> New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Program Enforcement Action Form <br /> omp dint eviewe y: ate: <br /> p aced by: <br /> 5104.rpt ate -y�7 <br />
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