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CO0001495
EnvironmentalHealth
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1600 - Food Program
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CO0001495
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Entry Properties
Last modified
11/15/2021 2:28:56 PM
Creation date
2/11/2019 9:40:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0001495
PE
1612
FACILITY_ID
FA0002903
FACILITY_NAME
LE SPUD
STREET_NUMBER
5308
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
2/28/1994 12:00:00 AM
SITE_LOCATION
5308 PACIFIC AVE #106
RECEIVED_DATE
2/28/1994 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PACIFIC\5308\CO0001495.PDF
Tags
EHD - Public
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s- Date: 02!28/94 <br />OWLAINT # : r�Or+.4B{ <br />Location: 5348 pAGEFIr AVE 0 <br />1 <br />06 <br />� .y v��- n.❑t�-c-=.-_r_n--a ns ec cs^_-- =�•_�_-gin= __-__�_ <br />++ [:f1EAA1F FST$ - <br />#4: <br />05: <br />#5: <br />date—/—/— by --�- <br />07: <br />date—/—/— by <br />#8: <br />date—!—/ by --- <br />4-574-57pate <br />Aeselvedl�ated by: <br />� �7 �j � Nam <br />Violations: <br />Enforcement: <br />Third Party Billing Information: <br />Name: <br />AddreSS: <br />City. <br />C/O: <br />state: ZIP: <br />CORRESPONDENCE & LEGAL DATES <br />Abatement date / <br />Abatement hearing date ! ! <br />1st NOTICE TO ABATE Printed ! ! <br />2nd NOTICE TO ABATE Printed / ! <br />REFERRAL DATES - (Check Referral Agency and ENTER GATE letter sent) <br />Fire Dept ! ! <br />Police/sheriff Dept <br />Building/Housing Dept / ! <br />PH Nursing ! ! <br />Animal Control / ! <br />District Attorney ! ! <br />state ODW / ! <br />Planning Dept ! ! <br />Cal -EP DTSC and/or RWOCB / ! <br />P�j a Works Dept ! / <br />Reviewed by: Date: <br />Complaint Record Upd ted By: Date: <br />Revised Report #5104 7/8/93 <br />
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