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CO0001163
EnvironmentalHealth
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1990
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2500 – Emergency Response Program
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CO0001163
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Last modified
7/2/2020 11:35:04 PM
Creation date
2/11/2019 10:40:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0001163
PE
2546
FACILITY_NAME
CERTIFIED GROCERS OF CA
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95207
ENTERED_DATE
12/10/1993 12:00:00 AM
SITE_LOCATION
1990 N PICCOLI RD
RECEIVED_DATE
12/10/1993 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PICCOLI\1990\CO0001163.PDF
Tags
EHD - Public
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Date run: 12/10/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run,.by SYLVIA Page 0 1 <br /> CqPy.#•m : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMI�fMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM NMMMMMM M <br /> COMPLAINT • : COOO1183 Program/Element : llgE <br /> Taken by ; ,-0008 LETITIA BRIGGS Date: 12/10/93 Assign to 0008 ETITIA BRIGGS Date: ]10/93 <br /> i <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 1990 N PYCGOLI':RD:. " (Must have FACILITY IDR) <br /> Complainant: <br /> <br /> F <br /> 5 <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: CERTIFIED GROCERS OF CA Loc Code 01 <br /> Address: 1990 N PICCOLI RD 803 Dist 001 <br /> r City: STOCKTON 95207 APR # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br />' Name: Home Phone: <br /> Address: Work Phone: <br /> City: <br /> Nature of Complaint: <br /> 12/8/93 - NURSE TANKER RELEASED 2 TO 3 GAL OF DIESEL FUEL WHILE TRAN <br /> SFERING FUEL TO TRUCK - FILLED OUT PROP 65 <br /> COMPLAINT Info - <br /> COMPLAINT MOUE: P PHONE <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 /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> OB-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 0 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />
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