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1600 - Food Program
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PR0160447
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COMPLIANCE INFO
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Entry Properties
Last modified
5/1/2020 2:12:59 PM
Creation date
3/12/2019 10:00:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160447
PE
1624
FACILITY_ID
FA0001543
FACILITY_NAME
WINE WIZARD
STREET_NUMBER
2222
STREET_NAME
GRAND CANAL
STREET_TYPE
BLVD
City
STOCKTON
Zip
952076676
APN
11011005
CURRENT_STATUS
01
SITE_LOCATION
2222 GRAND CANAL BLVD 3-3
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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PR 01 (oc) gq-7 <br /> -FA 1 5 y 3 <br /> a a a a 6(n/16 ( <br /> CERTIFIED MANAGEPROFESSI NAL FOOD <br /> 0 <br /> Designation Has Been Conferred Uport <br /> LARRY JOHANSEN <br /> Who teas met all the <br /> P R O M E T R I C •• professional requirements for certification in / <br /> • '•. food service safety and sanitation. a' t <br /> .s <br /> #0659 <br /> Exam 4011 Recognized By Conference For Food Protection <br /> Certificate No: 2028242 <br /> (V I � Exam Date: 11/07/18 <br /> Ryan McMillion,Client Services Manager Test Code: 6203064011 <br /> Prometric 7941 Corporate Drive,Nottingham,MD 21236 1 800.624.2736 Expires on: 11/07/23 <br /> !lI/I111A " <br /> — - — — — — — — — — — — — — — — — — — — — — — — — — — — — — Cut Here - — <br /> Prometric <br /> Score Report <br /> Congratulations! You passed the Certified <br /> Professional Food Manager examination. <br /> Your Score is as follows: <br /> Score Status Exam Date <br /> 91 PASS 11/07/2018 <br /> r — — — — — — — — — — — — — — — — — — — <br /> P R O M E T R I C •;• This is to certify that <br /> • .Dose <br /> LARRY JOHANSEN <br /> Has met the necessary requirements for <br /> LARRY JOHANSEN <br /> 2536 MICHAELANGELO DR <br />
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