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CO0014614
EnvironmentalHealth
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1600 - Food Program
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CO0014614
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Entry Properties
Last modified
11/15/2021 2:28:58 PM
Creation date
2/11/2019 9:41:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0014614
PE
1614
FACILITY_ID
FA0002901
FACILITY_NAME
OLDE TYME BURRITOS
STREET_NUMBER
5308
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
8/7/2000 12:00:00 AM
SITE_LOCATION
5308 PACIFIC AVE 8
RECEIVED_DATE
8/7/2000 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PACIFIC\5308\CO0014614.PDF
Tags
EHD - Public
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COMPLAINT ID: C00014614 <br /> Assigned To: EE0009157-BARCELLOS Site Location: 5308 PACIFIC AVE 8 <br /> INVESTIGATION REPORT <br /> Detail all progress report (s)chronologically. List dates,times,types of notices, names address and phone numbers of people involved. <br /> Describe conditions and actions taken. Attach all pertinent paperwork to this report. <br /> l __S 'f'G� C-G'rt.r�tr-c°�l s7 • �o cY �L st 4c' <br /> Date: eglol Wl <br /> .tie afJa-4ri--t-ed C ac"ofa 1....a...X' o"t� <br /> Inspector: « �,:i <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> omolaint Reviewed bv: YJ Date: Updated by: Date: <br /> 0104.rpt <br />
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