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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
Tags
EHD - Public
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II <br />f <br />1 _ <br />�€ i7Yi II �F'a- ras4;.letCK?i <br />_L <br />. , ._ .ServSnfe <br />CERTIFICATION <br />JOHN WILLIAMS <br />for successfully completing the standards set forth for the ServSafe" Food Protection Manager Certification Examination, <br />which is accredited 6y the American National Standards Institute (ANSI)—Conference for Food Protection (CFP). <br />5412 <br />IC BER EXAM FORM NUMBER <br />3/27/2019 3/27/2024 <br />DATE OF EX INATION DATE OF EXPIRATION <br />Local laws apply. Ch ith your local regulatory cy for recertification requirements. <br />ACCREDITED PROGRAM <br />Arneri"'" National standards Institute <br />.nd e Conference for Food Protection CR) <br />Sher rown <br />#0655 'AffIve Vice President, National Restouran ciation Solutions 0 0 <br />D <br />�In accordance wi or Convenlion 2006, Resolution ADM N 068-2013 (Regulation 3.2, Sto <br />'ssociation Educalional Foundation (NRAE). All rights reserved. Se'So.6 logo are trademarks of the NRAEF. National Restaurant Asso:iafion® and the arc design <br />tks of the National Restaurant Association. ON <br />S <br />Xument cannot be reproduced or altered <br />171 1081 1 v,171) Contact us with questions at 233 S. Wacker Drive, Suite 3600, Chicago, IL. 60606.6383 or ServSafe@restourant.org. <br />
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