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CO0008570
Environmental Health - Public
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1600 - Food Program
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CO0008570
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Entry Properties
Last modified
9/4/2020 4:04:14 PM
Creation date
2/11/2019 10:28:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0008570
PE
1619
FACILITY_ID
FA0002514
FACILITY_NAME
ASIAN SUPERMARKET
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
7/8/1997 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE 16
RECEIVED_DATE
7/7/1997 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0008570.PDF
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EHD - Public
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Date r�tn: 07/08! SAN .TOAOUIN COUNTY PUE31_ TC HEALTH SERVTC Report #5104 <br /> Ri!7 1 CAROLDI Page # 7 <br /> # 01 of 01. COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : C0008570 Program/Element- : 1600 <br /> Taken by : 0001 LINDA TURKATTE Date: 07!07/97 Assigned to : 0794 RAJU MATHEW Date: 07/08/97 <br /> Hard copy Printed: <br /> Facility Name: ASIAN SUPERMARKET Fac ID: 002514 <br /> BILL to inventoried FACILITY: <br /> Location: 4555 N PERSHING #16 (Must have FACILITY ID#) <br /> Complainant : JULIE MIRELLAR Home Phone : <br /> Address : 1421 ROSEMARIE AVE Work Phone : <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : ASIAN SUPERMARKET Loc Code : 01 <br /> Address : 4555 N PERSHING 1h BOS Dist : <br /> City : STOCKTON 95207 APN # <br /> Phone - 209-957--3097 <br /> BILLING RESPONSIBLE PARTY or OWNER Info - <br /> Name = UNG,, AL_ICIA Home Phone : 209-952-3508 <br /> Address : 8667_...MARINERS....._DR....._#67__....___......_........... <br /> ...... <br /> ............._......._........__._. . Work Phone : 209-957-3097 <br /> City : STOCKTON CA 95219 <br /> Nature of Complaint: <br /> GARBAGE IN ALLEY CREATING A NUISANCE AND ODOR . <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: O 0 <br /> 01-Fi Abat - ffice Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> -Transfer to Premise Fi <br /> 01-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date; <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: Q II III IV for Investigation <br />
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