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CO0039027
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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CO0039027
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Entry Properties
Last modified
4/16/2025 2:03:07 PM
Creation date
1/29/2019 12:09:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0039027
PE
1600 - FOOD PROGRAM
STREET_NUMBER
0
ENTERED_DATE
12/29/2014 12:00:00 AM
CURRENT_STATUS
Active
SITE_LOCATION
209 FOOD SPOT
RECEIVED_DATE
12/29/2014 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
FilePath
\MIGRATIONS\0\CO0039027.PDF
Tags
EHD - Public
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Complaint Investigation Form <br /> Report#:5104 <br /> COMPLAINT ID: C00039027 Site Location: 209 FOOD SPOT <br /> Account lD: <br /> Received by: EE0006213 PEDRAZA <br /> Received Date: 1212912014 Print Date: 4/12/2017 3:09:42PM <br /> Assigned To: EED006213 PEDRAZA Assigned Date: 12/29/2014 <br /> procram0amant Qoda:l 600-FOOD PROGRAM <br /> Home Phone <br /> Complainant: :ANON <br /> Work Phone <br /> Address <br /> -Mail Address <br /> Nature ofcom faint: <br /> FACE BOOK PAGE ENABLING THE SALES OF FOOD FROM UNAPPROVED SOURCES,AND BUSINESSES WITHOUT HEALTH PERMITS. <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-ShentPs Office <br /> PROPERTY INFORMATION <br /> PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:FACE BOOK PAGE <br /> Site Location RP/DBA LISA KEPHART DECKER,JESSICA RENEE,ANDRE BUNS, <br /> STOCKTON,CA RPAddress MARIZA RUELAS&LOLLI DOLLI <br /> Cross Street SIOCKION' <br /> Billing Address <br /> Home Phone <br /> Phone ; Work Phone <br /> District Location Code <br /> APN <br /> Date Abated ( Inspector ID#: <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:de; <br /> Circle appropriate Status Code[, <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 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 Reclined-See Program Record File <br /> 97-Disaster Planning and Response <br /> OB-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-Reffemed to Other Agency <br /> 08-Unable to Venfy Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Fol <br /> omp aint evi y. I ate: Updated lbyM: <br /> ate: <br /> y/7/7 <br /> slu rpt <br />
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