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CO0013381
Environmental Health - Public
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1600 - Food Program
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CO0013381
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Entry Properties
Last modified
9/4/2020 3:54:38 PM
Creation date
2/11/2019 10:28:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0013381
PE
1626
FACILITY_ID
FA0002509
FACILITY_NAME
MIRAGE PALACE RESTAURANT
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
12/9/1999 12:00:00 AM
SITE_LOCATION
4555 N PERSHING
RECEIVED_DATE
12/9/1999 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0013381.PDF
Tags
EHD - Public
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Report#:5104 <br /> Complaint Investigation Form <br /> COMPLAINT ID: C00013381 Site Location: 4555 N PERSHIN Account 1D: <br /> Received by: EE0000467 BARCELLOS Received Date: 12!911999 <br /> Assigned To: EED000467 BARCELLOS Assigned Date: <br /> } <br /> Program/Element1� <br /> ,Code: 1,68OOD PROGRAM l�/ Location I <br /> Complainant MARTHA Nome Phone Phone Not Specified <br /> Address Address Not Specified Work Phone 209-478-5106 <br /> Nature of complaint: <br /> VERY BAD SMELL,AND DIRTY FACILITY <br /> Complaint Mode Complaint Mode Codes A-Agency Referr, B-8d of Supervisors/City C-Counh E-Code Enforceme <br /> M-MaiUCorrespondc O-Other EH Unit P-Phone <br /> District Location: <br /> APN <br /> Date Abated Complaint Status Code: <br /> Inspector <br /> 01 FIELD ABATED <br /> 02 OFFICE ABATED <br /> JyL, vrtiQj {— 03 NAI SENT <br /> 04 NOTICE TO ABATE ISSUED <br /> Send Referral to: 05 ENFORCEMENT ACTION INITIATED <br /> 06 EHD PERMIT FACILITY-see Linked PREMISE FILE <br /> ReierralAddress: 07 REFERRED TO OTHER AGENCY <br /> 0 INVALID 1 UNABLE TO VERIFY <br /> FOODBORNE ILLNESS <br /> 10 SUBSTANDARD PROPERTY-SEE HOUSING ABATEMENT FILE <br /> Referral Letter Sent by: 1. <br /> Date: <br /> 0104xpt <br />
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