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CO0017889
Environmental Health - Public
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1600 - Food Program
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CO0017889
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Entry Properties
Last modified
9/9/2021 3:11:33 PM
Creation date
2/1/2019 2:59:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0017889
PE
1600
FACILITY_ID
FA0022709
FACILITY_NAME
SAFEWAY #1769
STREET_NUMBER
2808
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
ENTERED_DATE
8/16/2002 12:00:00 AM
SITE_LOCATION
2808 COUNTRY CLUB BLVD
RECEIVED_DATE
8/16/2002 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2808\CO0017889.PDF
Tags
EHD - Public
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COMr-LAINT ID: C00017889 <br /> AsA vied ro: EE0000321 -OLIVEIRA Site Location: 2808 COUNTRY CLUB BLVD <br /> INVESTIGATION REPORT <br /> Detail all progress report(s)chronologically. List dates,times,types of notices,names address and phone numbers of people involved. Describe <br /> conditions and actions taken. Attach all pertinent paperwork to this report. <br /> Date: <br /> N 0'>' <br /> Inspector: o`� r c.r 7`c��{-c�cQr dv� rfr' t D"Z • �� <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> 5164.rp1 <br /> 1 1 <br /> r <br />
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