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CO0011013
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1600 - Food Program
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CO0011013
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Last modified
8/24/2020 1:06:50 PM
Creation date
2/8/2019 5:53:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0011013
PE
1626
FACILITY_ID
FA0003926
FACILITY_NAME
LITTLE JOES OF LODI
STREET_NUMBER
1230
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
ENTERED_DATE
9/18/1998 12:00:00 AM
SITE_LOCATION
1230 W KETTLEMAN LN
RECEIVED_DATE
9/18/1998 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\1230\CO0011013.PDF
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EHD - Public
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Date run- 09/18/98 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Rdn by CAROLD Page # 1 <br /> Copy # = 01 of 0 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0011013 Program/Element 1626 <br /> Taken by : 6519 DISH Date: 09/18/98 Assigned to 0467 CARRUESCO Date: 09/18/98 <br /> Hard copy Printed: <br /> Facility Name: LIT ILE...._JQES......QF..._LOfJ_I. Fac ID : 003426, <br /> BILL to inventoried FACILITY: <br /> Location= 1,230 ._W......KETTLEMAN._.._LN. (Must have FACILITY ID#) <br /> Complainant: DIANA ROE3INSON Home Phone: 209--951--9313 <br /> Address= Work Phone : <br /> FACILITY LOCATION/Property Info – <br /> DBA or Name: LITTLE JOSS OF LODI Loc Code : 02 <br /> Address: 1230 W KETTLEMAN LN BOS Dist : 004 <br /> City: LODI„ 95240 APN # <br /> Phone : 209-333-1554 <br /> BILLING RESPONSIBLE PARTY or OWNER Info – <br /> Name: NELS—ON......._CH"E"RYL........ <br /> ...._Home Phone: 209-334-3400 <br /> Address: 812 PERRY WAY Work Phone: 209-333-T1554 <br /> City - L.O. -D-1- CA 95240 <br /> Nature of Complaint: <br /> WAITRESS USED HANDS TO PICK UP SALAD AND CONDIMENTS , NO ,GLOVES OR <br /> TONGS . WHEN SHE SENT BEEF SANDWICH BACK BECAUSE MEAT WAS NOT COOKED <br /> THE COOK TOOK MEAT OUT OF SANDWICH AND PUT IT BACK ON GRILL . <br /> COMPLAINT Info – <br /> COMPLAINT MODE: P PHONE <br /> .................. <br /> A-Agency Referral B-BD Of Supervisors/City CCOunCil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: 09__ <br /> - Abated 3-NAI Sent 04-Not' to Abate Issued 05-Enforce ACT Initiated <br /> 01 Field Abated 02-Office ba ed 0 <br /> 06-Transfer to Premise File 07-Refer to Other Agency 48-N Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Referral Letter Sent by: Dates <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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