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CO0001477
EnvironmentalHealth
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1600 - Food Program
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CO0001477
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Entry Properties
Last modified
7/24/2023 10:37:19 AM
Creation date
2/8/2019 5:58:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0001477
PE
1625
FACILITY_ID
FA0004550
FACILITY_NAME
TACO BELL
STREET_NUMBER
2380
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
ENTERED_DATE
2/24/1994 12:00:00 AM
SITE_LOCATION
2380 W KETTLEMAN LN
RECEIVED_DATE
2/24/1994 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\2380\CO0001477.PDF
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EHD - Public
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Date run! 02/24/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SEPVIC Report 05104 <br /> Run by SYL VIA Page # 1 <br /> COPY # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> • f?�ih �FM.MMMMNIMhl+dMMMM±AMM.M.MMMMMMMMMMMMhIMMMAfMMMalMMMM.M?lhfM.MMMMM1fMM!,4MMMhfMMM.MhfMMMMMMM.Mh! <br /> COMPLAINT R : C0001477 . Program/Element : 1625 <br /> Taken by : 647E AL OLSEN Date: 02/24/94 Assigned to : 0102 STEVE MINDT Date: 02/24/94 <br /> Facility Name: TACO BELL Fac ID: 004550 <br /> BILL to inventoried FACILITY: <br /> Location: 2380 W KETTLEMAN LN (Must have FACILITY ID#) <br /> <br /> . <br /> i <br /> FACILITY LOCATION/Property info - <br /> DBA or Name: TACO BELL Lee Code 02 <br /> Address: 2380 W KETTLEMAN LN BOS Dist 004 <br /> City: LODI 95242 APP! # <br /> Phone: 209-369-3359 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name: DAN LEWIS Home Phone: <br /> Address: 2380 W KETTLEMAN LN Work Phone: 209-369-3359 ` <br /> City: CA 95242 <br /> Mature of Complaint: <br /> - EATING AREA NOT BEING CLEANED - FLOORS AND TABLES STICKY - CLEANING <br /> RAGS DIRTY - <br /> CO!!PLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-ASency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-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 n 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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