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COMPLIANCE INFO_2015-2019
EnvironmentalHealth
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1600 - Food Program
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PR0160252
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COMPLIANCE INFO_2015-2019
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Last modified
9/18/2020 3:37:32 PM
Creation date
3/25/2019 9:37:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0160252
PE
1617
FACILITY_ID
FA0002483
FACILITY_NAME
PACIFIC AVENUE CHEVRON
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
01
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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rvsnfe <br />CERTIFICATION <br />MARVYN MIRAMON <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 (CFP). <br />ICATE 041WBER <br />1 • <br />DATE OF • <br />Local laws apply. he;;!, <br />i <br />ACCREDITED PRDGRAM <br />American Natlonal Standards Institute � i � <br />antl the Conference for Food Protection <br />5415 <br />EXAM FORM NUMBER <br />3/27/2024 <br />DATE OF EXPIRATION <br />for recertification requirements. <br />#0655 4APve Vice President, National Restauranrcciation Solutions <br />In accordance vri nt Labour Convention 2006, Resolution ADM N 068-2013 (Regulation 3,2,. _ <br />Association Educational Foundation (NRAEF). All rights reserved. a ServSafe logo are trademarks of the NRAEF. National Restaurant Association® and the arc design <br />10§61.—rks of the National Restaurant Association, <br />n document cannot 6e reproduced or altered. <br />17110811 v.1711 Contact us with questions of 233 S. Wacker Drive, Suite 3600, Chicago, IL. 60606-6383 or ServSofe@restourant.org. <br />
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