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COMPLIANCE INFO_2011-2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161119
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COMPLIANCE INFO_2011-2018
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Entry Properties
Last modified
12/29/2020 4:13:54 PM
Creation date
1/30/2019 2:07:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0161119
PE
1624
FACILITY_ID
FA0000890
FACILITY_NAME
133 CLUB
STREET_NUMBER
133
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21721044
CURRENT_STATUS
01
SITE_LOCATION
133 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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May 10 16 09:44a Brito ' 12^^3256221 p•9 <br /> Prerrl ierF®odSafe'd;t. www.PremierFoodSafety.com <br /> ProlBctlng people;lives fer c•:er 35)•ears (714)451-0075 <br /> t @ um <br /> _ <br /> tsa-� n <br /> 3 <br /> This certificate recognizes that <br /> Debra Olson <br /> has successfully completed and passed the <br /> ' +4`�..• 5 <br /> nor 5 t 1 ` °.s_,d:y+t,1 '- t x 7u 111 VL � 5 � i�E & p .+ <br /> 33 1 <br /> �Lr <br /> ANSI ACCREDITED PROOflAff, <br /> CER1IFlG0.TE 355uEfl Byong W.Yoko,PhD(Founder) <br /> I.=Date:03/1912015 Conflrmatlan:1502250721 <br /> Expirstlon Date:03111 18 This worse 6Ucness11111y Meets the MCIUVbmsms for Vie Cartamis Food Harder Card. V.rlfkatkr,Code:2016 11QTHC <br /> www.PremierFoodSafety.com <br /> ` PremierFoodcafetlf +'n'M11'-PremierFootlsatery.com <br /> California Food Handier Card <br /> Debre Olson <br /> Name <br /> Dab 010ampledon: 03nwams Confl'ma1m*-. 1a@,tl21 <br /> ExplraHon Date: aaltt•1:•w Vemcaton Cods:20I6011pTNC <br /> _. <br /> www.PrLmierFoodSafetv.com <br /> Received Time May. 10. 2016 10: 26AM No. 1554 <br />
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