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CO0017709
EnvironmentalHealth
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KETTLEMAN
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1600 - Food Program
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CO0017709
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Entry Properties
Last modified
5/1/2019 11:37:49 AM
Creation date
2/8/2019 5:59:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0017709
PE
1625
FACILITY_ID
FA0012662
FACILITY_NAME
JACK IN THE BOX #4301
STREET_NUMBER
2425
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
02704090
ENTERED_DATE
7/8/2002 12:00:00 AM
SITE_LOCATION
2425 W KETTLEMAN LN
RECEIVED_DATE
7/8/2002 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\2425\CO0017709.PDF
Tags
EHD - Public
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COMPLAINT ID: C00017709 <br /> Assigned Tcr EE0000467-CARRUESCO Site Location: 2425 W KETTLEMAN LN <br /> INVESTIGATION REPORT <br /> Detail atl progress report(s)chronalogically. List dates,times,types of notices,names address and phone numbers of people involved. Describe <br /> conditions and actions taken. Attach all pertinent paperwork to this report. <br /> `S <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector. <br /> Date: <br /> Inspector <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> /T O — <br /> 5164.rp1 <br />
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