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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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(.UtVlt•'LHIIV! IU: I:VUIl't3;38'i <br /> Assigned;: EE0000467-CARRUESCO Address: Address Not Specified <br /> INVESTIGATION REPORT <br /> Detail all progress report (s)chronologically. List dates,times,types of notices,names address and phone numbers of people involved. <br /> Describe conditions and actions taken. Attach all pertinent paperwork to this report. <br /> Date: �U 45 }Y-(¢CellCDat,r 'ra iw4 <br /> 0. are ��r, PG�yI� <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Date, <br /> Inspector: <br /> Date: <br /> Inspector: <br /> Complaint Reviewed by: Review Date: <br /> Complaint Updated by: <br /> x <br /> 0104.rpt <br />
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