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CO0045073
Environmental Health - Public
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1600 - Food Program
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CO0045073
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Entry Properties
Last modified
8/6/2021 9:23:01 AM
Creation date
2/13/2019 1:01:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0045073
PE
1600
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
14129005
ENTERED_DATE
11/8/2017 12:00:00 AM
SITE_LOCATION
678 N WILSON WAY
RECEIVED_DATE
11/4/1991 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\678\CO0045073.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00045073 Site Location: 678 N WILSON WAY AccountlD: <br /> Receivedby: EE0000035 HERNANDEZ Received Date: 11/4/1991 Print Date: 11/82017 3:01:57PM <br /> Assigned7o: EE0000753 NG Assigned Date: 11/8/2017 <br /> Pmora rElame t CodeA 600-FOOD PROGRAM <br /> Complainant: : <br /> <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINT WAS FOUND AND ALLEGES"6 ADULTS-2 CHILDREN HAD VOMITING AND DIARRHEA.ATE PIZZAAT 9PM,BECAME ILL AT <br /> 4:30AM.ONE REGULAR PIZZAAND 2 PEPPERONI AND SAUSAGE.3 PEPPERONI AND OLIVES WERE ORDERED"ORIGINAL COMPLAINT <br /> #912020 ON 11/4/91.(GIVEN ENVISION COMPLAINT NUMBER TO HAVE IN DATA BASE FOR FUTURE REFERENCE) <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Conespondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:STRAW HAT PIZZA <br /> Site Location 678 N WILSON RP/DBA STRAW HAT PIZZA <br /> STOCKTON,CA 95205 RPAddress <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 001-VILLAPUDUA,CARLOS Location Code 01-STOCKTON <br /> APN 14129005 <br /> Date Abated 'I ,�{�"l, Inspector ID#: NO, <br /> ------------------------------------------------- <br /> Send <br /> ----------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: 0i <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Connected 50-LEAD Assessment Perfonned-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Retfened to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> ( 89 Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form St-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified 83-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> omp alnt Reviewed by: Date. ,} t Updated by: ate; <br /> 5104.rpt <br />
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