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CO0001404
EnvironmentalHealth
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KETTLEMAN
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1600 - Food Program
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CO0001404
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Entry Properties
Last modified
10/6/2022 7:35:31 AM
Creation date
2/8/2019 5:52:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0001404
PE
1626
FACILITY_ID
FA0000195
FACILITY_NAME
YEN CHING RESTURANT
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
City
LODI
Zip
95240
ENTERED_DATE
2/7/1994 12:00:00 AM
SITE_LOCATION
1110 W KETTLEMAN STE 4
RECEIVED_DATE
2/7/1994 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\1110\CO0001404.PDF
Tags
EHD - Public
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Run by SYLVIA Page 0 1 <br /> Copy 0 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMhfMMMMMMMMMM.fdMMMMMMMMMMMMMMMMMM.MM..MMMMM.MMh!MM <br /> COMPLAINT R : C0001404 Program/Element : 1626 ry <br /> Takc by : 8674 JAIME FAVILA Date: 02/07/94 Assigned to 0102 STEVE MINDT Date: 02/0794 <br /> Facility Name: YEN CHING RESTAURANT Fac ID: 000195 ; <br /> BILL to inventoried FACILITY: <br /> Location: 1110 W KETTLEMAN STE 4 (Must have FACILITY ID#) ' <br /> Complainant: <br /> <br /> FACILITY LOCATION!Property Info - <br /> DBA or Name: YEN CHING RESTURANT Loc Code 02 <br /> Address: 1110 W KETTLEMAN STE 4 805 Dist 004 <br /> City: LODI 95240 APN # <br /> Phone: 209-334-2002 <br /> BILLING RESPONSIBLE PARTY or OMIER Info - <br /> Name: BILL CHU Home Phone: <br /> Address: 1110 W KETTLEMAN Work Phone: 209-334-2002 <br /> City: LODI CA 95240 <br /> Nature of Complaint: <br /> - NURSING MOTHER BECAME ILL ON SATURDAY - SHE ATE 2/4/94 AT 6:OOPM RIC <br /> E & POT STICKERS FROM FOOD DELIVERED AT 6:OOPM - <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 /> O6-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 /> Forwarded to UNIT: I II III IV for Investigation <br />
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