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CO0028778
EnvironmentalHealth
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KETTLEMAN
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1600 - Food Program
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CO0028778
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Entry Properties
Last modified
5/1/2019 11:37:29 AM
Creation date
2/8/2019 5:59:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0028778
PE
1600
FACILITY_ID
FA0012662
FACILITY_NAME
JACK IN THE BOX #4301
STREET_NUMBER
2425
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
02741008
ENTERED_DATE
8/5/2008 12:00:00 AM
SITE_LOCATION
2425 W KETTLEMAN LN
RECEIVED_DATE
8/5/2008 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\2425\CO0028778.PDF
Tags
EHD - Public
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COMPLAINT ID: C00028778 <br /> Assigned To:EE0003361 -FLOHRSCHUTZ Site Location: 2425 W KETfLEMAN LN <br /> INVESTIGATION REPORT <br /> Detail all progress report(s)chronologically. List dates,times,types of notices. Describe conditions and actions taken. Attach all pertinent paperwork to <br /> this report. <br /> Date: �._f_, V 5 t T • 0 ( 1� <br /> Inspector. <br /> Date: <br /> Inspector: I[ <br /> Date: <br /> Inspector. <br /> Date: <br /> Inspector. <br /> Date: <br /> Inspector: <br /> R <br /> omp aint Reviewed by: ate: Updated by: ate: <br /> 5104.rpt <br />
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