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CO0053322 (2)
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1600 - Food Program
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CO0053322 (2)
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Entry Properties
Last modified
4/8/2021 2:30:20 PM
Creation date
4/8/2021 2:14:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0053322
PE
1600
FACILITY_ID
FA0004112
FACILITY_NAME
GOLDEN OX
STREET_NUMBER
410
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202043
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
410 W KETTLEMAN LN
RECEIVED_DATE
1/25/2021 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Investigation Summary <br /> Report #. 5105 <br />COMPLAINT ID: C00053322 <br /> <br />Site Location: 410 W KETTLEMAN LN <br /> <br />Received by: EE0001084 RAMIREZ <br /> <br />Received Date: 1/25/2021 <br /> Complaint Received Via: PHONE <br />Assigned To: EE0001084 RAMIREZ <br /> Assigned Date: 1/25/2021 <br />Program/Element Code D004 - 2020 COVID-19 <br />Nature of complaint: <br />OBSERVED SEVERAL CUSTOMERS SEATED IN FACILITY AND DINING IN. ALSO OBSERVED AN EMPLOYEE IN THE KITCHEN WITHOUT <br />FACE COVERING. <br />PROPERTY INFORMATION <br />Facility: FA0004112 - GOLDEN OX <br />Site Location 410 W KETTLEMAN LN <br /> District 004 - WINN, CHARLES <br />LODI, CA 95240 <br /> Location Code 02 - LODI <br />Cross Street KETTLEMAN <br /> APN 06202043 <br />Complaint Status: <br />Date Abated <br />Abated By: <br />Activity Summary <br />Activity Date <br /> Recorded by <br />02/05/2021 Compliant investigation. RAMIREZ <br />Report emailed to goldenox@pacbell.net <br />5105 rpt <br /> <br />Page 1 of 1
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