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CO0007013
EnvironmentalHealth
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1600 - Food Program
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CO0007013
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Entry Properties
Last modified
5/13/2021 3:54:30 PM
Creation date
2/13/2019 1:45:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0007013
PE
1616
FACILITY_ID
FA0004625
FACILITY_NAME
FRANKS ONE/STOP FOOD MART
STREET_NUMBER
2072
Direction
W
STREET_NAME
YOSEMITE
City
MANTECA
Zip
95337
ENTERED_DATE
10/4/1996 12:00:00 AM
SITE_LOCATION
2072 W YOSEMITE
RECEIVED_DATE
10/4/1996 12:00:00 AM
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\2072\CO0007013.PDF
Tags
EHD - Public
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Date run: -n— /04/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> Run by KARENI� Page # 6 <br /> Copy # = 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0007013 Program/Element : 1600 <br /> Taken by : 3304 KAREN ARMSTRONG Date: 10/04/96 Assigned to : 9157 MARK 8ARCELLOS Date: 10/44/96 <br /> Hard copy Printed: <br /> Facility Name : FRANKS ONE/STOP FOOD.._-MART. Fac ID= 004625. <br /> BILL to inventoried FACILITY: <br /> Location: 2072....W. ......YOSEMITE.,._AVFNUE-., MANTEC_A (Must have FACILITY ID#) <br /> Complainant : <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name= Loc Code <br /> Address: ............ 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 /> FOOD VENDER IS RENTING A SPACE OUTSIDE AND COOKING FOOD CLOSE TO THE <br /> GAS PUMPS . VENDOR AREA IS NOT CLEAN; AND THE VENDOR HAS NO PERMIT . <br /> COMPLAINT Info - <br /> COMPLAINT MODE: PPHONE <br /> ................. <br /> A-Agency Referral 8-BD OF Supervisors/City CCouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS:' .0 .. <br /> 01-Field Abated 02-Office Abated 43-NAI Sent 44-Notice ,o Ab�at� O5-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 4$-N6t Valid -Foodborne Illness <br /> Circle appropriate Unit A if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/£ update <br /> Forwarded to UNIT: I II III IV for Investigation <br /> { <br />
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