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COMPLIANCE INFO_2015-2019
EnvironmentalHealth
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1600 - Food Program
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PR0539648
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COMPLIANCE INFO_2015-2019
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Last modified
10/7/2020 1:43:57 PM
Creation date
7/24/2019 11:49:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0539648
PE
1609
FACILITY_ID
FA0022688
FACILITY_NAME
RUSTIC CRUNCH
STREET_NUMBER
3958
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02514003
CURRENT_STATUS
01
SITE_LOCATION
3958 W SARGENT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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February 26, 2018 Lab ID : STK1831838 <br /> Ron Hittle Customer : 3-13723 <br /> Certification:: I certify that this data package is in compliance with ELAP standards,both technically <br /> and for completeness, except for any conditions listed above. Release of the data contained in this data <br /> package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br /> signature. <br /> KD:DM13 <br /> Upb yip K=Yy A�.BS <br /> Approved By Kelly A.Dunnahoo,B.S. T�=,�.e%..�ywaw. <br /> TW.m�sozw <br /> Page 2 of 5 <br />
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