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CO0031304
Environmental Health - Public
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1600 - Food Program
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CO0031304
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Entry Properties
Last modified
5/21/2019 4:00:13 PM
Creation date
2/13/2019 12:43:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0031304
PE
1600
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
ENTERED_DATE
12/4/2009 12:00:00 AM
SITE_LOCATION
1756 N WILSON WAY
RECEIVED_DATE
12/4/2009 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\1756\CO0031304.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00031304_ Site Location: 1756 N WILSON WAY AccountlD: AR0001864 i <br /> Received by: EE0000321 OLIVEIRA Received Date: 1214!2009 Print Date: 1214!2009 11:52:02AM <br /> Assigned To: EE0006213 PEDRAZA Assigned Date: 12/4/2009 <br /> ProgramlElement Code:1600-FOOD PROGRAM <br /> Complainant: :ANONYMOUS Home Phone <br /> Address Work Phone <br /> E-Mail Address <br /> j <br /> ,Nature of complaint. <br /> (C)PURCHASED MIN CHIPS AHOY COOKIES WITH 2007 DATE ON PACKAGE. UPON OPENING PACKAGE THE COOKIES HAD A HORRIBLE <br /> N <br /> SMELL. (C)OBSERVED MANY OTHER PACKAGES OF SNACK FOOD THAT OLD DATES ON THEM, <br /> Complaint Mode: P Complaint Mode Godes A-Agency Referral B-Bd of Supervisors i City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence 0-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0001858-MY MINI MART Owner: OW0001454-LAL JOGINDER <br /> Site Location 1756 N WILSON WAY RPIDBA : <br /> STOCKTON,CA 95205 RP Address 840 DUPONT DR <br /> Cross Street STOCKTON,CA 95210 <br /> Mailing Address: 1756 N WILSON WAY Billing Address 840 DUPONT DR <br /> STOCKTON,CA 95205 STOCKTON,CA 95210 <br /> Home Phone :209-473-0534 EXT: CELL <br /> Phone :209-941-2264 Work Phone :209-547-1700 <br /> District 002-RUHSTALLER,LARRY Location Code 01 -STOCKTON <br /> APN 11721005 <br /> l Date Abated I /0 a Inspector. 3 <br /> .I. Send Referral to i Referral Letter Sent by <br /> j Referral Address Date. <br /> Complaint History ' <br /> Complaint Status Code: �� Attached But Not <br /> j Scanned <br /> Circle appropriate Status Code <br /> 01-FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement Regired-See Program Record t=ile <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 66-END FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> I! <br /> 0II 7-REFERRED TO OTHER AGENCY <br /> 08-UNABLE TO VERIFY <br /> I! <br /> 10-POSTED SUBSTANDARDlUNSECURED-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 /> ail{ <br /> Illi <br /> l <br /> la <br /> Il <br /> 511 .rpt <br /> I <br />
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