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CO0032941
Environmental Health - Public
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1600 - Food Program
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CO0032941
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Entry Properties
Last modified
9/4/2020 4:53:54 PM
Creation date
2/11/2019 10:30:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0032941
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
12/6/2010 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE 16
RECEIVED_DATE
12/6/2010 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4555\CO0032941.PDF
Tags
EHD - Public
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�r <br /> �. Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00032941 Site Location: 4555 N PERSHING AVE 16 Account ID: AR0004707 <br /> Received by: EE0005944 ESCOTTO Received Date: 12/6/2010 Print Date: 12/6/2010 11:43:30AM <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 12/6/2010 ; <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Complainant. :ANNON Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> Nature of <br /> complaint.- <br /> STORE IS SELLING BAD MEAT.(C)HAD TO THROW MEAT AWAY BECAUSE IT SMELLED BAD. (C)SUSPECTS REFRIDERATOR MAY NOT BE <br /> WORKING.THE STORE IS ALSO SELLING EXPIRED FOOD OFF OF THE SHELVES, <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors t City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail I Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ————— —————— ————- ————— ——— <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002514-ASIAN SUPERMARKET Owner: OW0001919-UNG,ALICIA <br /> Site Location 4555 N PERSHING AVE 16 RP/DBA ASIAN SUPERMARKET <br /> STOCKTON,CA 95207 RP Address 8667 MARINERS DR 67 <br /> Cross Street PERSHING STOCKTON,CA 95219 <br /> Mailing Address: 4555 N PERSHING#16 Billing Address 8667 MARINERS DR#67 <br /> STOCKTON,CA 95207 STOCKTON,CA 95219 <br /> Home Phone ;209-952-3508 <br /> Phone :209-957.3097 Work Phone ;209-957-3097 <br /> District 002-RUHSTALLEI,LARRY Location Code 01 -STOCKTON <br /> APN 11017001 / /� <br /> Date Abated �] U � ) Inspector ('l,', U <br /> - - ----- ---—D—` —U--! ——————— ------ —c—C-- ----- <br /> Send Referral to Referral Letter Sent by — <br /> Referral Address Date: <br /> Complaint Status Cod—;KO <br /> 11� <br /> Circle appropriate Status Code <br /> 01 FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Reqired-See Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> ja NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found <br /> l6EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 5104.rp1 <br />
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