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COEUCSVGG (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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STATE RTE 26
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19021
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1600 - Food Program
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COEUCSVGG (2)
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Last modified
1/20/2023 1:59:10 PM
Creation date
1/20/2023 1:57:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
COEUCSVGG
PE
1600
STREET_NUMBER
19021
STREET_NAME
STATE RTE 26
City
LINDEN
Zip
95236
APN
09125025
ENTERED_DATE
11/28/2022 12:00:00 AM
SITE_LOCATION
19021 STATE RTE 26
RECEIVED_DATE
11/28/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: COEUCSVGG Site Location: 19021 STATE RTE 26 <br />Received by: EE0009828 MURO <br /> <br />Received Date: 11/28/2022 Complaint Received Via: PHONE <br />Assigned To: EE0009828 MURO <br /> <br />Assigned Date: 11/28/2022 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />FACILITY IS SELLING SHAKES AND TEA WITHOUT A HEALTH PERMIT. <br />PROPERTY INFORMATION <br />Property Name: EXTREME NUTRITION CLUB 24 <br />Site Location 19021 STATE RTE 26 <br /> District 004 - WINN, CHARLES <br />LINDEN, CA 95236 <br /> Location Code 99- UNINCORPORATED AREA <br />Cross Street MILL <br /> APN 09125025 <br />Complaint Status: Oi <br />Date Abated : 2__ Abated By: AI e-10 <br />Activity Summary <br />Activity Date Recorded by <br />11/28/2022 Received an anonymous complaint stating that the business on 19021 HVVY 26 is MURO <br />making health shakes and tea without a permit. Looked into inventory - did not find <br />a permitted food facility. Generated a complaint. Went to site, facility was closed. <br />11/29/2022 Received a phone call from complainant stating that the facility was currently MURO <br />open. Went to site and spoke to operator, Ana Sanroman. She reported she does <br />make shakes and tea. Issued notice to abate - provided information for permit and <br />plan check process. She stated she will go to EHD to start process today. <br />51 05. rpt <br />Page 1 of 1
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