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CO0020176
Environmental Health - Public
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1600 - Food Program
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CO0020176
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Entry Properties
Last modified
9/4/2020 3:54:38 PM
Creation date
2/11/2019 10:29:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0020176
PE
1600
FACILITY_ID
FA0002514
FACILITY_NAME
ASIAN SUPERMARKET
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
ENTERED_DATE
1/2/2004 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE 16
RECEIVED_DATE
1/2/2004 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0020176.PDF
Tags
EHD - Public
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COMr-LAINT 10: 000020176 <br /> w° Assigned To: EE0000321 -OLIVEIRA Site Location:4555 N PERSHING AVE 16 <br /> • ' INVESTIGATION REPORT <br /> Detail all progress report(s)chronologically. List dates,times,types of notices. Describe conditions and actions taken. Attach all pertinent paperwork to <br /> f this report. <br /> Date: ' <br /> r� <br /> Inspector: � j4 � ,.S't (k-o_ 'ae3 _'q+-Ali 7 ZI� V1c� <br /> C`a v-e. t,� ve F <br /> L�!✓LliY�e.� - �-�'l� ��"P �u.u�s� d'ct s��r.yi cI�Q-S tr'�oc-e._ <br /> Date: <br /> Inspector: <br /> Date: <br /> Inspector: <br /> I� <br /> 9I <br /> I <br /> Date: <br /> Inspector: <br /> r <br /> I <br /> 1 <br /> Date: <br /> Inspector: <br /> i <br /> f <br /> ompaint Reviewed by: ate: f pdated by: Date <br /> f <br /> 5104.rpt <br /> r <br />
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