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CO0004908
Environmental Health - Public
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1600 - Food Program
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CO0004908
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Entry Properties
Last modified
8/6/2021 9:22:57 AM
Creation date
2/13/2019 12:59:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0004908
PE
1625
FACILITY_ID
FA0002462
FACILITY_NAME
EL POLLO LOCO #5893
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
ENTERED_DATE
10/27/1995 12:00:00 AM
SITE_LOCATION
678 N WILSON WAY
RECEIVED_DATE
10/27/1995 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\678\CO0004908.PDF
Tags
EHD - Public
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f <br /> Illrl >y'I f"3jlt ii 'P31.TC ^' r cF�RJV T <br /> NE;�� H .C' RepoFtSIGA <br /> REPORT <br /> rage <br /> COMPI-ATr',J INVESTTGATI� N #; 3 <br /> COMPLAINT # = 00004908 <br /> PrOqY &m/E Iemen 1600 <br /> Taker, by . 9051 MLRY OSKLIVAN Date: :0/27I9; Assigned `. rJ?94 0.y=—sem 1y. 27} <br /> ,�.,sncb: rata` /_ <br /> Hard copy Printed: �— <br /> raC �lit`r' Name . <br /> IL tn- inventoried Aii_: Y' <br /> f+sY E� F GSL L.0 1__C,C:: (Rust �ave FANLIiuO#,, <br /> T . <br /> .................. <br /> <br /> . <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name ; E'L .P-0L L0 LOCO L..c,,-- Cocic ;. <br /> 78 N Wit-SON WAY �. <br /> O <br /> p it ST ,5 T O J APN # <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> N'anIP : { <br /> P1-101l <br /> ATE CHICK! ti Fico AROUND 2PM ON 10/:.2c, A,ND BE(' -AN TO GET ABOUT <br /> SPM WITH BEI N6 Dil'ZY , VO MI7 ING AND DIAIRRHE . <br /> COMPLAINT Info — <br /> CO:'IPLAINT MODE: t' PHONE <br /> -hge::y R..fer•ai 8-E7 CF Sure* : scrsl it, Ccouncil C-Gountar M-Mail/Cor asponaence <br /> O-'ther EN Unit P-Phone <br /> NMPLA7tiV <br /> ,.-F eid Abated G2-Cffice Abated J3-NAI Sent 44-notice to Abate Issued 05-Erforca AC; i.11t t° <br /> 06-'ransfsr to Precise Fie Refer to other Agency 48-Not Valid 09-Foodborne i"n°ss <br /> :ircle opropriate ' nit 0 iT complaint :n another PROGRAM jurisdiction, Have Gompiaint Re ord anal P/E updated <br /> Foruardad to UNIT' I'_ 1ii P for Irvestiyation <br />
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