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CO0006664
EnvironmentalHealth
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1600 - Food Program
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CO0006664
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Last modified
12/18/2019 4:57:28 PM
Creation date
2/13/2019 12:55:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0006664
PE
1613
FACILITY_ID
FA0002137
FACILITY_NAME
99 SPEEDWAY
STREET_NUMBER
4105
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
ENTERED_DATE
8/12/1996 12:00:00 AM
SITE_LOCATION
4105 N WILSON WAY
RECEIVED_DATE
8/12/1996 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\4105\CO0006664.PDF
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EHD - Public
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Date run: 08/13/9 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report #5104 <br /> Run by : MARY F Page # t <br /> Copy # : 01 or 0 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT ## = C0006664 Program/Element : 1600 <br /> Taken by : 8714 MARY FRANKS Date: 08/12/96 Assigned to 0794 RAJU MATHEW Date: 08/12/96 <br /> Hard copy Printed: <br /> Facility Name : 99 SPEEDWAY Fac ID: 002137 <br /> BILL to inventoried FACILITY: <br /> Location: 410S N WILSON WAY (Must have FACILITY IDN) <br /> Complainant: BEVERLEY CARRCANON ) __., ____Home Phone : 209-466-0936 <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : 99 SPEEDWAY Loc Code : 01 <br /> Address: 4105 N WILSON WAY BOS Dist : <br /> City : ST_OCKTON 95205 APN # <br /> Phone : 209-477-2277 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: RG CONCESSION COMPANY Home Phone : <br /> _. <br /> Address: PO BOX7065 Work Phone : <br /> .._... . .-. ........ .. <br /> _-. <br /> City: STOCKTON CA 95207 <br /> ........... <br /> Nature of Complaint: <br /> NO RUNNING WATER OR POWER ON SATURDAY 8/10 YET THEY STILL SERVED FOOD . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: 0q" <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notic issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency of Val 09-Foodborne Illness <br /> Circle appropriate Unit # 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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