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CO0001985
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1600 - Food Program
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CO0001985
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Last modified
10/6/2022 7:35:30 AM
Creation date
2/8/2019 5:52:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0001985
PE
1626
FACILITY_ID
FA0000195
FACILITY_NAME
YEN CHING RESTAURANT
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004017
ENTERED_DATE
6/2/1994 12:00:00 AM
SITE_LOCATION
1110 W KETTLEMAN LN 14
RECEIVED_DATE
6/2/1994 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\1110\CO0001985.PDF
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EHD - Public
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Date run: 06/02/94 SAN JOAQUIN COUNTY PUBLIC HEALTH%ERVC Report #5194 <br /> Run by CAROLINE Page # 5 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MAtMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMUNMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # _ CO001985 Program/Element 1626 <br /> Taken by 0102 STEVE MINDT Date: 06/02/94 Assigned to : 0102 STEVE MINDT Date! 06/02/94 <br /> Facility Name: YEN CHING RESTAURANT Fac ID: 000195 <br /> BILL to inventoried FACILITY: <br /> Location: 1110 W KETTLEMAN, STE 14 (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: YEN CHING Loc Code 99 <br /> Address: 1110 W KETTLEMAN SOS Dist 002 <br /> City: STOCKTON APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OMNER Info - <br /> Name: Home Phone: <br /> Address: Mork Phone: <br /> City: _ <br /> Nature of Complaint: <br /> ATE "HOUSE" CHICKEN - VOMITING, CRAMPS THAT NIGHT <br /> COMPLAINT Info - <br /> t <br /> a <br /> CdMPLAINT 'MODE: P PHONE <br /> A-AS4cy Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLA44T STATUS: <br /> 01-Fiel*�J. 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 OB-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br /> f,, <br />
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