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CO0005400
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1600 - Food Program
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CO0005400
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Entry Properties
Last modified
5/21/2019 4:00:20 PM
Creation date
2/13/2019 12:43:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0005400
PE
1617
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
ENTERED_DATE
1/23/1996 12:00:00 AM
SITE_LOCATION
1756 N WILSON WAY
RECEIVED_DATE
1/23/1996 12:00:00 AM
P_LOCATION
01
QC Status
Approved
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ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\1756\CO0005400.PDF
Tags
EHD - Public
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Date run: 01/23/96 SAN JOAOUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by MARYF, (/1�! <br /> Copy # 01 df (C7��Y COMPLAINT INVESTIGATION REPORT Page # 1 <br /> COMPLAINT # = C0005400 Program/Element 1600 <br /> Taken by : Date: 01/23/96 Assigned to Date: 01/23/96 <br /> Hard copy Printed: c� <br /> Facility Name: MY MINI MART Fac ID: 001858 <br /> BILL to inventoried FACILITY: <br /> Location= 1.756..........._N-....LSON...WAY (Must have FACILITY ID#) <br /> Complainant: ANON Home Phone: <br /> .. . ..................Ll...................... ,............_...................... <br /> Address: Work Phone: <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : MY...._MIN.1....._MAR'T.........*. Loc Code : 01 <br /> _....._......._......................_...................._._......-................._................... <br /> Address: 1756.._._-...N......WI.L ©N.....WAY... .... BOS Dist _ <br /> City- ............................._.._................................._. .. . .. <br /> S:TOCKTON 95205 APN # <br /> Phone: 209-941-2364 <br /> BILLING RESPONSIBLE PARTY or OWNER Info <br /> Name. PATEL..........� iA,KORBHA5....._P...............-............_..................................- . <br /> Home Phone: <br /> Address : 1,64.1...._...._ ..... .1 SON....-WAY ....._Work Phone : <br /> City: STOCK.TON CA 95205 <br /> Nature of Complaint: <br /> WHEN YOU WALK IN THE STORE THERE IS A FOUL ODOR , LIKE ROTTING FOOD ,'. <br /> THIS IS A CONCERN BECAUSE THEY SERVE HOT DOGS , NACHOS , ETC . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: PPHONE <br /> .............. <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 3-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Pr - e er to Other Agency 08-Not Valid 04-Foodborne Illness <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q 11 III IV for Investigation <br />
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