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CO0009405
Environmental Health - Public
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1600 - Food Program
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CO0009405
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Entry Properties
Last modified
9/4/2020 3:55:25 PM
Creation date
2/11/2019 10:28:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0009405
PE
1624
FACILITY_ID
FA0002515
FACILITY_NAME
DE VINCIS DELICATESSEN
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
12/8/1997 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE 21
RECEIVED_DATE
12/8/1997 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0009405.PDF
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EHD - Public
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COMPLAINT # : CO009405 Date: 12/08/97 <br /> Inspector : MATHEW Location: 4555 PERSHING AVE, STOCKTON <br /> COMMENTS - <br /> #4 : <br /> dot : 1 Lf 4� by:k1k. Ad U Je2:5:d XY)rx elta- <br /> date__J__j_ by: <br /> #5 : I <br /> dated—JT by: O 4�]r.'�. _ ak — <br /> date_ _J__--__ by: <br /> #6 : <br /> da1e--J,_____/_.—, by: <br /> date___JJ_ by: <br /> #7 : <br /> by: <br /> daie�I "/ by' <br /> #8 : <br /> by: <br /> date_/_ by: <br /> by: -- <br /> date/_/_ by: <br /> d a t e,____f__/_ by, I _ <br /> Resolved/Abated by: CEO�� Name �J DateL°1-(LJ <br /> Violations: <br /> Enforcement: <br /> CORRESPONDENCE d LEGAL DATES - <br /> r <br /> NOTICE TO ABATE sent / / Office Hearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> Fire Dept / / r Police/Sheriff Dept �/ �/_ _ Building/Housing Dept <br /> PH Nursing /�f w� Animal Control _/_/_ _ District Attorney <br /> State ODR ::J—J— <br /> _ Planning Dept <br /> Cal-EPA DISC and/or 6QCB ::J J— _ Public Works Dept <br /> Third Party Billing Information: <br /> Name: C/O: <br /> Address: <br /> City: State: ZIP: <br /> Reviewed by: i Date: <br /> Complaint Record Updated By: Date: <br /> Revised Report 15104 11/23/94 <br />
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