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CO0046756
Environmental Health - Public
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1600 - Food Program
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CO0046756
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Last modified
9/4/2020 4:53:47 PM
Creation date
10/5/2018 8:31:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0046756
PE
1600
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
ENTERED_DATE
5/30/2018 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE
RECEIVED_DATE
8/2/1991 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00046756 Site Location: 4555 N PERSHING AVE Account ID: <br /> Received by: EE0000040 JIMENEZ Received Date: 8/2/1991 Pr <br /> <br /> <br /> <br /> <br /> N,CA 95205 E-Mail Address <br /> Nature of complaint: <br /> "ON 8/1/1991 COMPLAINT'S BABY WAS PLAYING IN THE"BALLS"AT RESTAURANT-THE"BALLS"SMELLED OF URINE AND WERE FILTHY- <br /> BOTTOM OF PLAY AREA(UNDER THE"BALLS")IS FULL OF HAIR,BAND AIDES,DIRTY SOCKS, ETCETERA."ORIGINAL CO#911271 DATED <br /> 8/2/1991 <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 /> [-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:CHUCK E.CHEESE <br /> Site Location 4555 N PERSHING RP/DBA CHUCK E.CHEESE <br /> STOCKTON,CA 95207 RPAddress 4555 N PERSHING AVE <br /> Cross Street STOCKTON,CA 95207 <br /> Billing Address 4555 N PERSHING AVE <br /> Home Phone :209-952-2801 <br /> Phone Work Phone 209-952-28U I <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 11017001 <br /> Date Abated ) r� Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> _LLL I ', <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97;Disaster Planning and Response <br /> 07-Referred to Other Agency (92'UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaint Reviewed by. / ate:, Updated by: i� ate:. _ <br /> t J <br /> 5104.rpt <br />
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