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CO0001198
Environmental Health - Public
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1990
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2500 – Emergency Response Program
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CO0001198
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Last modified
7/2/2020 10:06:29 AM
Creation date
2/11/2019 10:40:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0001198
PE
2546
FACILITY_ID
FA0003826
FACILITY_NAME
CERTIFIED GROCERS OF CALIF
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95205
ENTERED_DATE
12/17/1993 12:00:00 AM
SITE_LOCATION
1990 N PICCOLI RD
RECEIVED_DATE
12/17/1993 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PICCOLI\1990\CO0001198.PDF
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EHD - Public
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Date run: 12/17/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 05104 <br /> r.=s . <br /> Run'b5 oje: SYLVIA Page A 4 <br /> Copy 0 •.01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MA�fMMMMMMMMMMMMMMMMMMMMAIMMMMMMMMMMMMMAfMMMMMMMMMMMMMMMMMMMMMMMA�MMbfIIMMMMMMMMMMMMM <br /> COMPLAINT / : C00011SS Program/Element : 2500 ���ivN 0 <br /> Taken by : 7354, SYLVIA MARTINEZ Date: 12/17/93 Assigned to ;�gg�� Date: 12/17/93 <br /> Facility Name: CERTIFIED GROCERS OF CALIF Fac ID: 003826 <br /> BILL to inventoried FACILITY: <br />° Location: 1990 N PICCOLI RD (Must have FACILITY 100) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: CERTIFIED GROCERS OF CALIF Loc Code 01 <br /> Address: 1990 N-PICCOLI RD BOB Dist : 001 <br /> City: STOCKTON 95205 APN S <br /> Phone: <br /> BILLING .RESPONSIBLE PARTY or OWNER Info - <br /> Name: INLAND INVESTMENT ALAN WALKER Home Phone: <br /> Address: 2601 S EASTERN AVE Work Phone: <br /> City: CITY OF COMMERCE CA 90040 <br /> Nature of Complaint: <br /> - 8:30PM 12/16/93 - 1-20ALLONS OF FUEL SPILLED WHILE FILLING TRUCK NOZ <br /> ZLE STAYED ON CLEAN UP WITH ABSORBANT - TO BE PICKED UP BY HAZ HAULER <br /> COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> a2 <br /> COMPLAINT STATUS: <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-EnforcB ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Nat Valid 09-Foodborne Illness <br /> h <br /> r <br /> Circle appropriate Unit 9 if complaint in another PROGRAM jurisdiction, Have'Complaint Record and P/E updated <br /> Forwarded to UNIT: I II III IV for Investigation <br />
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