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CO0002757
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2500 – Emergency Response Program
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CO0002757
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Last modified
3/3/2022 11:13:26 AM
Creation date
2/8/2019 8:23:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0002757
PE
2547
FACILITY_ID
FA0000854
FACILITY_NAME
WALMART #1840
STREET_NUMBER
1205
Direction
S
STREET_NAME
MAIN
City
MANTECA
Zip
95336
ENTERED_DATE
10/17/1994 12:00:00 AM
SITE_LOCATION
1205 S MAIN
RECEIVED_DATE
10/17/1994 12:00:00 AM
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\1205\CO0002757.PDF
Tags
EHD - Public
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Date run: 10/17/94 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> ." Run by CAROLINE Page # 1 <br /> Copy # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # COOO2757 Program/Element = 2547 <br /> Taken by 0988 KASEY FOLEY Date: 10/17/94 Assigned to 0731 PAMELA VIOLETT Date: 10/17/94 <br /> i <br /> Facility Name: WLMAaRT, Fac ID: 0p4854. <br /> 2Q5 BILL to inventoried FACILITY: <br /> Location' 1 <br /> ...... .. ....-Y,:_.. ..;.:MAI.N m (Must have FACILITY IDA) <br /> CompCOUNTY...._ <br /> <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: _ Loc Code <br /> Address : .........._...._._.._..........:._.........................._......_.__.._._.................._..........._........_.._......._......................_.............._.,_..._..:._.....-.,....._.......................... <br /> ................_.�.........._...... 8 O S Dist <br /> City : APN # <br /> Phone , <br /> BILLING RESPONSIBLE PARTY or OWNER Info -- <br /> Name: Home Phone: <br /> Address: Work Phone: <br /> ..............._................. ......................._......................_...._........._..._........._.._._..........................._... .. .._.__..._._. _.. <br /> City , <br /> Nature of Complaint: -. <br /> SNACK BAR FIRE -- STARTED -IN TOASTER—KASEY-FOLEY ..RESPONDED.- <br /> . . % <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral 8-BO OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EM Unit P-Phone <br /> COMPLAINT STATUS: <br /> field Abated 02- ffice Abated 03-NAI. Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> ansfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness <br /> Circle appropriate Unit A if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> FOTWarded to UNIT: I II III IV for Investigation <br />
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