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CO0015232
Environmental Health - Public
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1600 - Food Program
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CO0015232
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Entry Properties
Last modified
10/19/2023 9:52:39 AM
Creation date
2/8/2019 5:56:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0015232
PE
1625
FACILITY_ID
FA0000724
FACILITY_NAME
KENTUCKY FRIED CHICKEN #120
STREET_NUMBER
224
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
ENTERED_DATE
11/27/2000 12:00:00 AM
SITE_LOCATION
224 W KETTLEMAN LN
RECEIVED_DATE
11/27/2000 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\224\CO0015232.PDF
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EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00015232 Site Location: 224 W KETTLEMAN LN Account ID: AR0000723 <br /> Received by: EE000D467 CARRUESCO Received Date: 11/27/2000 <br /> Assigned To: EE0000467 CARRUESCO Assigned Date: 11/27/00 <br /> Program/Element Code: 1625-RESTAURANT/BAR 51-100 SEATS <br /> <br /> <br /> Nature of complaint: <br /> ON 11-26-00 ORDERED 1/2 ORIGINAL, 112 CRISPY MEAL.DISCOVERED AN ATTACHED PIECE TO BREAST THAT HAD SEED, GRAIN AND <br /> HAIR IN IT. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0000724-KENTUCKY FRIED CHICKEN#120 Owner: OW0006092-HARMAN-DAVE&LISA INC <br /> RP/DBA: KENTUCKY FRIED CHICKEN#120 <br /> Site Location: 224 W KETTLEMAN LN <br /> RPAddress., 5544 S GREEN ST <br /> LODI,CA 95240 MURRAY,UT 84123-5798 <br /> Mailing Address: 5544 S GREEN ST <br /> MURRAY,UT 84123-5798 MURRAY,Billing Address:: S GREEN <br /> ST <br /> MURUT 84141 <br /> 23-5798 <br /> Phone: 1st: 415-727-0163 Phone: <br /> Wk: 801-486-2300 <br /> District 004-SEIGLOCK,JACK Location Code 02-LODI <br /> APN <br /> Date Abated <br /> Inspector <br /> Send Referral to: <br /> Refena/Address., <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: <br /> Ot -Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 02-Office Abated 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Requited(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 0 -Invalid/Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> -Foodborne Illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55- Lead Hazard Monitoring Schedule (6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56- Lead Hazard Abatement Complete (7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57- Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58- Lead Hazard Case-See Active File For This Site <br /> 0104.rpt <br />
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