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CO0012391
EnvironmentalHealth
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1600 - Food Program
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CO0012391
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Entry Properties
Last modified
9/4/2020 4:23:28 PM
Creation date
2/11/2019 10:28:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0012391
PE
1619
FACILITY_ID
FA0002529
FACILITY_NAME
S MART FOODS #230
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95350
ENTERED_DATE
6/10/1999 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE
RECEIVED_DATE
6/10/1999 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0012391.PDF
Tags
EHD - Public
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wy' CAR 01-D Report #5104 <br /> cav # G1 of 01 COMPLAINT INVESTIGATION REPORT Page # <br /> COMPLAINT # ��- - <br /> C0012391 <br /> 'a en by 6519 DISA Date 06/10!99 Assigned is 0794 MAIHEW rData 06,aM 'Elemerit 1619 <br /> Hard <br /> .,, printed. <br /> F1':ility Names MART FOODS, #230 <br /> 'Jkac ID : n02529 <br /> Location- -5n PERSHING fVv! � � BILL to inventoried FACILITY: <br /> m 1 a t � (Must have FACILITY ID#) <br /> EITH _..(_EMPLOYEE } <br /> hduies� Home Phone : <br /> _.... ... .... .....Wot k Phone : <br /> FACILITY LOCATION/Property Info - <br /> DDA or Name : S MART FOODS #230 <br /> Address : 4 55 N PERSHING AVECod <br /> _ <br /> oC e 01 <br /> City. STOCKTON 95350 _ - BOS Dist = 002 <br /> Phone : 209-952--0537 APN ## <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name SAVE MART <br /> Address - 1NDIFOFO— Home Ph �n <br /> oea 209-577-1600 <br /> 300 STA <br /> City " MODESTOI CA 95355Work Phone : <br /> - - - 209-334--635 <br /> Natm e cf Camplaint: <br /> MICE DROPPINGS AROUND PUDDING SNACK PACKS , DOG FOOD AND RICE . HE HAS <br /> 1DVI'>ED MANAGEMENT IN THE PAST BUT NOTHING HAS BEEN DONE . <br /> COMPLAINT Info - <br /> COHPL�iINr MICE: P PHONE <br /> A9ery Referral E-BD CF Supervisors/City Ccouncil C-Countar M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: D <br /> Abated <br /> 02-Office Abated 03-NAI Sent 04- tice tc Abate Issued 06 E rce ACTTnitiatad <br /> Cb 'ra^sf� tc Premise File 07-Refer to Other Agency OS Not Valid Fo ne Illness <br /> Send Referral Letter to: <br /> Address: <br /> al Leiter Sent, b�, D r <br /> :'.rcle :PPr09riate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded td 'NIT, II III y'at G <br />
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