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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0540769
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COMPLIANCE INFO
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Entry Properties
Last modified
9/24/2020 5:04:18 PM
Creation date
2/15/2019 1:15:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540769
PE
1632
FACILITY_ID
FA0023303
FACILITY_NAME
RIVER ISLANDS TECHNOLOGY ACADEMY II
STREET_NUMBER
1175
STREET_NAME
MARINA
STREET_TYPE
DR
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
1175 MARINA DR
P_LOCATION
07
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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PURCHASE ORDER <br /> %Manteca .Unified Schaal NC). P018-011340 <br /> DATE= 0811812017 <br /> Distri.ct SrilP To- <br /> DO=Nutrition ServiceS <br /> PO Box 32 2271 W. Louise Avenue <br /> Manteca,CA 95,336 Manteca, CA 95337 <br /> (209)s25-3200 x50503 FAX (209)825-3234 <br /> ORDERED FROM: FJ (249) L 0138 11VIPORTANT iNSTRLj0TIQNS.'T0VJEND0,R <br /> t, itemized INVOICES in DupliCate. <br /> San Joaquin County 2. Enclose PACKING LIST with ALL shipments. <br /> Environmental Health Dept 3. No deviation in PRICE or SU68Ti%MON in kind permitted_ <br /> 4. Adl deliveries P.0.8.Destination unless otherwise 4peci5ed. If freight <br /> 1866 E Haxa3lton Avenueis to t charged,prepay.and add to invoice. <br /> Stockton,CA 96205-6232 5. THE LAW REQUIRES MATERIAL SAFETY DATA SHEETS FOR <br /> PRODUCTS ON THIS ORDER. PLEASE ENCLOSE WITH INVOICE. <br /> 6. Purchase order number must appear on packing slip and InvGiCe. <br /> All invoices e-mailed to:accounts a able musd_net F3EQUESTT141�! <br /> ORDER LOCATION REQUISTTIONER <br /> Joann Garcia REQ16-01659 <br /> 978-DQ-Nutrition Services <br /> DATE REQUIRED F.O.B. TERMS OF PAYMENT SHIP VIA BUYER RPQ#F <br /> mum • • <br /> • <br /> --PER FEE SCHEDULE-EFFECTIVE 07101!2017-'* <br /> 1 1 EACH Health Inspection Fees for River Island Technology Academy 30'4:00 X304.00 <br /> h @$152.001Hr <br /> 07101117-W/3011 s <br /> �y <br /> 1 � <br /> Order Sub-Total $304.00. <br /> _ Sales Tax o0 <br /> Shipping 00 <br /> Adjustment ,00 <br /> Order Total 5304.00 <br /> k. <br /> 1 Page 1 of 1 Vendor Authorized Signature <br /> ` Received Time Aug, 18. 2017 4:47PM No. 2129 <br />
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