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CO0043025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WOODWARD
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1600 - Food Program
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CO0043025
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Entry Properties
Last modified
11/26/2019 9:28:12 AM
Creation date
2/13/2019 1:26:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0043025
PE
1600
FACILITY_ID
FA0001052
FACILITY_NAME
ISLANDER TAVERN
STREET_NUMBER
20801
Direction
S
STREET_NAME
WOODWARD
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
24125033
ENTERED_DATE
3/1/2017 12:00:00 AM
SITE_LOCATION
20801 S WOODWARD AVE
RECEIVED_DATE
3/1/2017 12:00:00 AM
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WOODWARD\20801\CO0043025.PDF
Tags
EHD - Public
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�j.Jjl Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00043025 Site Site Location: 20801 S WOODWARD AVE Account lD AR0001050 <br /> Recelvedby: EE0000020 MEUANGKHOTH Received Date: 3/1/2017 Print Date: 3/1/2017 4:51:08PM <br /> Assigned To: EE0004589 LINHARES Assigned Date: 3/1/2017 <br /> PrcaramrElement Code:1600-FOOD PROGRAM <br /> Complainant: : RON MURPHY Home Phone : 209-624-3391 <br /> Address Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES FACILITY IS COOKING FOOD OUTSIDE ON A GRILL.EMPLOYEE COOKING THE FOOD IS SICK,COUGHING ALL <br /> OVER THE FOOD AND NOT WEARING GLOVES ORA MASK WHILE COOKING. PLEASE CONTACT COMPLAINANT BACK WITH FINDINGS. <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION OWNER INFORMATION <br /> Facility:FA800IO52-ISLANDER TAVERN Owner: OW0005077-HOGAN,RICHARD J <br /> Site Location 20801 S WOODWARD AVE RPIDBA <br /> MANTECA,CA 95336 RPAddress 1691 FREWERT RD SPC 4 <br /> Cross Street LATHROP,CA 95330-978 <br /> Mailing Address: 20801 S WOODWARD AVE Billing Address 1691 FREWERT RD SPC4 <br /> MANTECA,CA 95336 LATHROP,CA 95330-978 <br /> Home Phone :702-321-6115 <br /> Phone :209-823.6019 Work Phone :702-321-6115 <br /> District 005-ELLIOTT,BOB Location Code <br /> APN 24125033 <br /> Date Abated 3— —7 — Inspector ID III!: l_;\nVNoq eS <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-ReBerred to Other Agency <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-Nev;Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp aint Reviewed by: ate Upated by: Date3 <br /> : <br /> r� <br /> 5104 rpt <br />
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