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CO0012715
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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CO0012715
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Entry Properties
Last modified
5/14/2019 10:53:49 AM
Creation date
2/11/2019 9:59:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0012715
PE
1626
FACILITY_ID
FA0002653
FACILITY_NAME
PEGASUS RESTAURANT
STREET_NUMBER
7627
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
8/2/1999 12:00:00 AM
SITE_LOCATION
7627 PACIFIC AVE
RECEIVED_DATE
8/2/1999 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PACIFIC\7627\Copy of CO0012715.PDF
Tags
EHD - Public
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Dame run: 08/02/99 SAN JOACHUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> 1 <br /> Run by CAROLD <br /> CCOY # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPL4f,RT # : C0012715 Program/Element. 1626 <br /> Taken by : 6519 DISA Date: 08/02/99 Assigned to : 0467 CARRUBSCO Date: 08/02/99 <br /> Hard copy Printed: <br /> Facility Name : PEGASUS RESTAURANT Fac ID : 002653 <br /> BILL to inventoried FACILITY: <br /> Location: 7627 _PACIFIC... AVE (Must have FACILITY IDN) <br /> Complainant : <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name: PEGASUS RESTAURANT Loc Code : O1 <br /> _.__. ._.. .......-... _. ._ ..._.... _.. <br /> Address : 7627 _ <br /> -, PAC1'FIC___AVE .__,__, _ BOS Dist : 002 <br /> City: STOCKTON 95207 APN # : <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : C05TA,._PARTHENOPI _ __Home Phone: 209-952 -0930 <br /> Address: 9.146 ASNE}URN__DR_, _ __ ,.._Work Phone - <br /> City : STOCKTON CA, 95207 <br /> Nature of Complaint: <br /> ATE AT RESTAURANT TUESDAY 7-27-99 , WHILE THERE WAITER TOLD HIM HE WAS <br /> VERY SICK THAT HE HAD SCARLET FEVER . SAID HE THINKS SCARLET <br /> FEVER IS VERY CONTAGIOUS . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> ............ <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EN Unit P-Phone <br /> COMPLAINT STATUS: <br /> Dl-Field Abated 02-Office Abated 03-NAI Sent 04-Notic ssued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency -Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by: Date: <br /> Circle appropriate Unit 1 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P!E updated <br /> Forwarded to UNIT: 0 II III IV for Investigation <br />
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