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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1403
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1600 - Food Program
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PR0160584
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COMPLIANCE INFO
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Entry Properties
Last modified
4/16/2020 3:22:04 PM
Creation date
1/23/2019 11:25:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160584
PE
1617
FACILITY_ID
FA0001477
FACILITY_NAME
MY GOODS MARKET #5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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rE a z� I <br /> �'• r�t a�w: <br /> ' f ZZ +" <br /> ry <br /> te4 x^. <br /> eSafe <br /> CERTIFICATION <br /> ERICA GUTTER <br /> for successfully completing the standards set forth for the ServSafe'o Food Protection Manager Certification Examination, <br /> which is accredited by the American Notional Standards Institute(ANSI)—Conference for Food Protection(CFP). <br /> 5418 <br /> ER EXAM FORM NUMBER <br /> 5/14/2019 r it tt,;, 5/14/2024 <br /> ei <br /> DATE OF EXAMIN.r DATE OF EXPIRATION <br /> _. - ___. local laws apply.CFS K w,1h ry for recertification requirements. <br /> a�A/D <br /> o. <br /> Shermon Brown <br /> 40655 Executive v:c.e Pte.dens, Notional Restaurant ociation Solutions <br /> "Ru- <br /> 'yY , <br /> L occordonce ,^Auntirne(al7Gt.r�6 eNi6n 2006,Resolution ADM N 068 2113IRe <br /> _ ' <br /> s,2017 Not anal Rasfuurunl Assoclafio Cd colional rocrda ion(NRMF) Al r hts m6r`�4d a ySp( &W,4.se'vSole logo Lite trrYlemarks of the NfsAEF.Nutiorrsl Reskwrori Associaion@ and the arc resign <br /> are trademarks of tluNcniorrl itestourantAssonation. �:a�r; ?,ti�V^t` <br /> chis document connoi be reproduced or.4—d. - <br /> 17110811 v 1 7 t 1 Cmlml us wish questions at 233 5 Wccker[hive,Suite 3600.Chicago,IL.60606-6383 or 5en5ofe€reowam org. <br />
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