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CO0000889
EnvironmentalHealth
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1600 - Food Program
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CO0000889
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Entry Properties
Last modified
9/5/2023 4:40:19 PM
Creation date
2/8/2019 6:38:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0000889
PE
1614
FACILITY_ID
FA0000876
FACILITY_NAME
RALEYS #311
STREET_NUMBER
1280
STREET_NAME
LATHROP
City
MANTECA
Zip
95336
ENTERED_DATE
10/19/1993 12:00:00 AM
SITE_LOCATION
1280 LATHROP
RECEIVED_DATE
10/19/1993 12:00:00 AM
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
FilePath
\MIGRATIONS\L\LATHROP\1280\CO0000889.PDF
Tags
EHD - Public
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Date run: 10/19/93 SAN JOAQr. COUNTY PUBLIC HEALTH SERVIC egort $1194 <br /> Yun )iy CAROLINE Page 3 <br /> opy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> 7�fMMhlAfl�fMA11fMMM1tIMl1MMh1MM�fMMMr�IMNlhfhfMMMMMMMMh1MMMM��IhfMMMMItfnL1 '1�fMMrllhfMMl�f�7MhfMMMI�+�fMtlli ►f <br /> COMPLAINT # : 00000889 Program/Element : 61.7-. ko <br /> Taken by : 2111 CAROLINE NASCIRENTO mate: 10/19/93 Assigned to ; 7419 P h RCiiE Date; 10/1x1'93 <br /> Facility Name: RALEYS #311 Fac ID: 000876 f <br /> LAMI-�)q1-ip RiLL to inventoried FACILITY: <br /> Location: 128 LQU�-Ef VENUE ($lust have FACILITY ID1I <br /> <br /> <br /> I <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name:: RALEYS #311 Loc Code : 04 <br /> Address: 1280 E` Z. UP BOS Dist : <br /> City: MANTECA 95336 APN # <br /> Phone: <br /> t <br /> BILLING RESPONSIBLE PARTY or. OWNER Info — <br /> Name: RALEY'S Home Phone: <br /> Address: P.O. BOY 15618 Work Phone: 916--373-3333 <br /> Ci y.: SACRAMENTO CA 95852 <br /> Nature a° Colplaint: <br /> BOUGHT SWEET/SOUR CHKN FM DELI — SHE & SON ATE IT - BOTH BECAME ILL W/ <br /> DIAHERRA. ' <br /> I <br /> t <br /> COMPLAINT Info — } <br /> i <br /> COMPLAINT KOK: P PRONE <br /> i <br /> A-Agency Referral 6-I10 OF Supervisors/City Ccouncil C-Coanter R-Mail/Correspondence <br /> Li-Other EH Uait P-Phone i <br /> C09PLAINT STATUS, (J � <br /> { <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Worce ACI' initiated <br /> H-Transfer to Precise File OT-Refer to Otfier Agency OS-Not 44tid 09-Foouborne ,ilistess <br /> r <br /> Cirele &PPN Priate Onit i if oGE hint in another PROGRAM iarisdiction, Have Complaint Record and P/E updated F <br /> Forwarded to ffiT; 1 11 111 IV for Investigation <br />
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