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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3113
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1600 - Food Program
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PR0160157
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COMPLIANCE INFO
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Entry Properties
Last modified
4/15/2020 11:07:30 AM
Creation date
3/21/2019 11:01:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160157
PE
1626
FACILITY_ID
FA0002153
FACILITY_NAME
LUMBERJACKS RESTAURANT
STREET_NUMBER
3113
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219-3703
APN
10018009
CURRENT_STATUS
01
SITE_LOCATION
3113 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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ServSafe <br /> National Restaurant Association <br /> ery af <br /> e <br /> CERTIFICATION <br /> KANWARJIT SINGH <br /> for successfully completing the standards set forth for the ServSafe"Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute(ANSI)—Conference for Food Protection(CFPI. <br /> 18994703 5445 <br /> CERTIFICATE t�'*4,BER EXAM FORM NUMBER <br /> 2/12/2020 2/12/2025 <br /> DATE OF EXAMINATIO* DATE OF EXPIRATION <br /> Local laws apply.Crack with your local regulatory agency for recertificaticn requirements. <br /> ' Sher an Brown <br /> #0655 ve Vice President,National Restaurant dation Solutions <br /> O <br /> In acco,dance wi,`�' `,,,-Ir Ca,.innm 2006,R"r -ADM N 068-2013(RepAd on 3.2,Stmdan3 <br /> 7 Nafi-1 P-#.-f Anw fi'an Ed—ri-1 Fwrdorion(NRAEFI.AR nAkAdMIMIN&I Sok logo are-d—k,ai the NRAEf.N.ti—I Rnk—, and the arc design <br /> Trod kr of d,e Nnhawl Rn�vurarit Auaiarian <br /> 'is day r camwt be rerxoduced or alrored. <br /> 1711081 I v.1711 CanaR us with qunnws ar 233 5.Wacky Drive,Suib 3600,Chicago,It 60606-6387 ar SenSole@resmvra„ro,y. <br />
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