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CO0053769 (2)
Environmental Health - Public
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1600 - Food Program
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CO0053769 (2)
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Entry Properties
Last modified
6/17/2021 4:13:21 PM
Creation date
6/17/2021 2:54:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0053769
PE
1600
FACILITY_ID
FA0001902
FACILITY_NAME
SAMS PIZZA & MORE
STREET_NUMBER
1854
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319102
ENTERED_DATE
5/6/2021 12:00:00 AM
SITE_LOCATION
1854 COUNTRY CLUB BLVD
RECEIVED_DATE
5/5/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Investigation Summary Report#:5105 <br /> COMPLAINT ID: C00053769 Site Location: 1854 COUNTRY CLUB BLVD <br /> Received by: EE0009830 SAUERS Received Date: 5/5/2021 Complaint Received Via: PHONE <br /> Assigned To: EE0003361 FLOHRSCHUTZ Assigned Date: 5/5/2021 <br /> Program/Element Code 1600-FOOD PROGRAM <br /> Nature of complaint: <br /> COMPLAINANT ORDERED FOOD FOR DELIVERY ON 5/5/21.COMPLAINANT ORDERED CA CHICKEN BOWLAND WHEN THEY STARTED <br /> EATING THEIR FOOD,THEY DISCOVERED A MAGGOT.COMPLAINANT STOPPED EATING THE FOODAND HAD CO WORKERS STOP EATING <br /> THEIR FOOD.COMPLAINANT CALLED AND LET THE EMPLOYEE AT THE FACILITY KNOW AND THEY RECEIVED A FULL REFUND. <br /> COMPLAINANT HAS PHOTOS. <br /> —PLEASE CALL COMPLAINANT <br /> PROPERTY INFORMATION <br /> Facility:FA0001902-SAMS PIZZA&MORE <br /> Site Location 1854 COUNTRY CLUB BLVD District 001 -VILLAPUDUA,MIGUEL <br /> STOCKTON,CA 95204 Location Code 99-UNINCORPORATED AREA <br /> Cross Street MISSION APN 12319102 <br /> ------------------------------------------------- <br /> Complaint Status: <br /> Date Abated: 5 - / -7-2- + Abated By: nu /V(-7 <br /> Activity Summary <br /> Activity Date Recorded by <br /> 05/17/2021 Complaint inspection see official inspection report FLOHRSCHUTZ <br /> Unable to verify <br /> Report emailed to misskea925@yahoo.com <br /> Called complainant and left a voice message <br /> 5105.rpt Page 1 of 1 <br />
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