My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CO0011889
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
W
>
WASHINGTON
>
333
>
1600 - Food Program
>
CO0011889
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/2/2020 5:03:40 PM
Creation date
2/13/2019 11:18:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0011889
PE
1612
FACILITY_ID
FA0000958
FACILITY_NAME
OUT OF PLAY CONCESSIONS
STREET_NUMBER
333
Direction
N
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
LODI
Zip
95240
ENTERED_DATE
3/10/1999 12:00:00 AM
SITE_LOCATION
333 E WASHINGTON
RECEIVED_DATE
3/10/1999 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WASHINGTON\333\CO0011889.PDF
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
UaUe tura V3/ lU/y '�HrI JUAUUIN COUNIYrPUBLIC HEALTH SERVIC RReaportQe45# <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address : BOS Dist : <br /> City : APN # <br /> Phone, <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : Home Phone: <br /> Address : Work Phone : <br /> City : <br /> Nature of Complaint: <br /> FACILITY IS SELLING SANDWICHES , SOUPS , AND SALADS OUT OF COFFEE SHOP <br /> WITHOUT A PERMIT . FOOD IS PREPARED BY SENIOR SERVICES STAFF , PACKAGED <br /> AND SOLD IN THE COFFEE SHOP TO THE EMPLOYEES . ALSO , THEY HAVE ANOTHER <br /> COFFEE SHOP AT THE COURTHOUSE IN THE BASEMENT THAT SELLS DONUTS , COFFEE , <br /> SODA AND OCCASIONLY BURRITOS . ( NO PERMIT FOUND FOR THEM EITHER ) . <br /> NOR GAt, VpNAtnlE,• <br /> Dept or' He.rmA • v/ <br /> MAR1k- Rhyrio <br /> COMPLAINT Info — <br /> V A-LM 16 <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-8D OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> _....._.__ <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date : <br /> Circle appropriate Unit ' if compla' t in another PROGRAM jurisdiction. Have Complaint Record and P/E updated <br /> forwarded to UNIT: II III IV for Investigation <br />
The URL can be used to link to this page
Your browser does not support the video tag.