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CO0017916
Environmental Health - Public
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1600 - Food Program
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CO0017916
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Entry Properties
Last modified
8/6/2021 9:24:01 AM
Creation date
2/13/2019 12:59:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0017916
PE
1600
FACILITY_ID
FA0002463
FACILITY_NAME
FOOD 4 LESS
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
ENTERED_DATE
8/22/2002 12:00:00 AM
SITE_LOCATION
678 N WILSON WAY
RECEIVED_DATE
8/22/2002 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\678\CO0017916.PDF
Tags
EHD - Public
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s <br /> �. Report#:5104 <br /> Complaint Investigation Form <br /> COMPLAINT ID: C00017916 Site Location: 678 N WILSON WAY Account ID: AR0004645 <br /> Received by: EE0007801 HOLLINGSWORTH Received Date: 8/22/2002 <br /> Assigned To: EE0003027 NGUYEN Assigned Date: 8/22/2002 <br /> Program/Element Cade: 1600-FOOD PROGRAM <br /> Complainant <br /> : <br /> Nature of complaint., <br /> (C)WAS AT SITE ON 08/21/02 AND A BIG RAT RAN INTO COLD FOOD SECTION WHERE THE BUTTER IS. MANAGER IS AWARE OF IT <br /> BUT DIDN'T DO ANYTHING. <br /> Complaint Mode P Complaint Mode Codes: A-Agency Referral B-Bd of Supervisors/City Council E-Code Enforcement <br /> M-Mail/Correspondence O-Other EH Unit C-Counter P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0002463-FOOD 4 LESS Owner: OW0001562-PAQ INC <br /> RP/DBA: FOOD 4 LESS <br /> Site Location: 678 N WILSON WAY RP Address: 3341 WILLOWBROOK CR <br /> STOCKTON,CA 95205 STOCKTON,CA 95219 <br /> Mailing Address: 8014 LOWER SACRAMENTO RD STE I <br /> Billing Address:: 255 E MARCH LN <br /> STOCKTON,CA 95210 <br /> STOCKTON,CA 95207 <br /> Phone:1st: 209-466-2751 Phone: Hm: 209-478-9314 <br /> Wk: 209-957-4917 <br /> District Location Code 01 -STOCKTON <br /> APN <br /> Date Abated 3D 0:9- - <br /> Inspector AL IV_ZPLj� <br /> Send Referral to: <br /> Referral Address: <br /> Referral Letter Sent by: <br /> Date: <br /> Complaint Status Code: T 01 <br /> p1Field Abated 10-Substandard Property-See HOUSING ABATEMENT File <br /> 2-Office Abated ° 15-Active Housing Case-New Complaint See Active Case# <br /> 03-NAI Sent 16-Letter Sent To Tenant <br /> 04-Notice To Abate Issued 17-15-Day Letter Sent <br /> 05-Enforcement Action Initiated 50-Lead Hazard Evaluation Required(1) <br /> 06-EHD Permit Facility-See Linked Premise File 52-Lead Hazard Abatement in Progress(3) <br /> 07-Referred To Other Agency 53-Lead Hazard Visual Inspect Satisfactory(4) <br /> 08-invalid I Unable To Verify 51 -Lead Hazard Work Plan Submitted(2) <br /> 09-Foodbome illness 54-Lead Hazard Dust Evaluation Satisfactory(5) <br /> 11-Multiple Complaints-See Active Case# 55-Lead Hazard Monitoring Schedule(6) <br /> 12-Enforcement Case-Transferred To LIQUID WASTE File 56-Lead Hazard Abatement Complete(7) <br /> 13-Enforcement Case-Transferred To SOLID WASTE File 57-Lead Hazard Property Vacant W/Soil Contamination <br /> 14-Enforcement Case-Transferred To ER File 58-Lead Hazard Case-See Active File For This Site <br /> 5104.rpt <br />
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