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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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VwU 12098256221 p.8 <br /> MOT, Premiel-Food.Saffety www.Nem!erFoocj4Safe+-V,- rn <br /> WV '0 <br /> (714) 451-0075 <br /> a <br /> ri <br /> J <br /> This certificate recognizes that <br /> Debra Olson <br /> has successfully Completed and passed the <br /> Al'S ACCREDFFED FROGRAM <br /> CEPWICATEISSUP. Bvc)rlg W.Yoo, PhD{Founder) <br /> mue Date:03102f2012 <br /> NAration Date:0aM2r"5 This course successfully meals the requirements for the Csh'fwia cood Handler Card, COrithrmatore 120207WS9 <br /> Verification Coca,NXJUPDovF <br /> www.PremierFood5afety.com <br /> .. ........ . ............ ........ ....... ............. .... ... ........... . ... ....... ............. <br /> PremierFoodSafety <br /> California Food Handier Card <br /> Debra Olson <br /> Name <br /> 0a-eCfCW-Ple(+()n: OVOW012 121410s9 <br /> F„Piratun Date: m ,; trCrlfimtiOFICoda:N)4u11P00VF <br /> ....... ......-.......... ..... ......... -.............................................................. <br /> .......... <br /> Received Time Feb. 25. 2014 2:50PM No. 5281 <br />
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