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CO0012159
Environmental Health - Public
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1600 - Food Program
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CO0012159
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Entry Properties
Last modified
8/11/2021 3:46:30 PM
Creation date
2/13/2019 12:14:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0012159
PE
1625
FACILITY_ID
FA0002725
FACILITY_NAME
BURGER KING
STREET_NUMBER
8023
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
ENTERED_DATE
4/29/1999 12:00:00 AM
SITE_LOCATION
8023 WEST LANE
RECEIVED_DATE
4/29/1999 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\8023\CO0012159.PDF
Tags
EHD - Public
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LVI-IYLH11`11 S = l.VV1L1D7 UaiLE' U4/ G'7/ 'l'9 <br /> InsPE�aor ' P.��S:ANAS i..ocat,ion: 8023 WEST LANE <br /> COMMENTS <br /> aatei�_iti-jbA OoA6L OA L2jdam LMuI • �LPi ICJ, <br /> date—,—,— by: <br /> date by <br /> date by <br /> date— —i— by --,__-- <br /> date by <br /> date— <br /> date—/,--/— <br /> # <br /> date--/—/— by' <br /> date by. <br /> date_ _/_ by <br /> date—/11— by: <br /> — <br /> date—/—/— by: <br /> Resolved/Abated by: #3'fg7 NamedUitflitl Date/j/ <br /> violations: <br /> Enforcement: <br /> CORRESPONDENCE & LEGAL DATES - <br /> NOTICE TO ABATE sent / i Office Hearing date <br /> REFERRAL DATES - (Check Referral Agency and ENTER DATE letter sent) <br /> _ Fire Dept —/_/— _ Police/Sheriff Dept _/—/_ _ Building/Housing Dept <br /> _PH Nursing —/—/_ _ Animal Control _/_/_ _ District Attorney <br /> _ State DOW Planning Dept <br /> _ Cal-EPA OTSC—and/or RWDCB _/_/_ _ Public Works Dept <br /> Third Party Billing Information: <br /> Name: C/O: <br /> Address <br /> City: State:— ZIP: <br /> Reviewed by: Date= <br /> Complaint Record Updated By = �— Date : <br /> Revised Report #5104 11/23/94 <br />
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