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CO0016412
EnvironmentalHealth
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1600 - Food Program
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CO0016412
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Entry Properties
Last modified
3/26/2024 12:25:12 PM
Creation date
2/12/2019 1:20:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0016412
PE
1617
FACILITY_ID
FA0003291
FACILITY_NAME
K & N FOOD & FUEL
STREET_NUMBER
3425
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
ENTERED_DATE
8/21/2001 12:00:00 AM
SITE_LOCATION
3425 N TRACY BLVD
RECEIVED_DATE
8/21/2001 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\3425\CO0016412.PDF
Tags
EHD - Public
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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: C00016412 Site Location: 3425 N TRACY BLVD Account 10: AR0002865 <br /> Received by: EE0009058 Lowe Received Date: 8/21/2001 <br /> Assigned To: EE00094144OTi-r Assigned Date: 8/21/01 <br /> Proaram/Element Code: 1617-RETAIL MARKET>1000 SQ FT <br /> <br /> <br /> <br /> Nature of complaint: <br /> (C)STATES REST ROOMS ARE VERY DIRTY. URINE ON WALLS. WATER OR URINE ALL OVER FLOOR. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-MaiOCorrespondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0003291 -K&N FOOD&FUEL Owner: OW0002435-CHAPEL,KEITH <br /> RP/DBA: K&N FOOD&FUEL <br /> Site Location: 3425 N TRACY BLVD RPAddress: 1459 GRAYWOOD DR <br /> TRACY,CA 95376 <br /> SAN JOSE,CA 95129 <br /> Mailing Address: 3425 TRACY BLVD <br /> Billing Address:: 1459 GRAYWOOD DR <br /> TRACY,CA 95376 SAN JOSE,CA 95129 <br /> Phone:1st: 209-835-1605 <br /> Phone: HM: 408-257-5656 <br /> Wk: 209-835-1605 <br /> District 005-BEDFORD,LYNN Location Code 03-TRACY <br /> APN <br /> Date Abated gI 'ol <br /> Inspector C'=r7 <br /> Send Referral to: <br /> Referral Address: <br /> Relemal Leifer Sent by: <br /> Date: <br /> Complaint Status Code: �g <br /> 01-Field Abated 10-Substandard Pmpeny-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> Referred To Other Agency 53-Lead Huard Visual Inspect Satisfactory(4) <br /> 08 invalid/Unable To Venfy 51-Lead Hazard Work Plan Submitted(2) <br /> *tg- <br /> Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case If 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 01a.rpt <br />
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