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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0516312
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COMPLIANCE INFO_2019
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Last modified
4/20/2020 10:03:20 AM
Creation date
4/20/2020 10:03:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0516312
PE
1633
FACILITY_ID
FA0012549
FACILITY_NAME
COFFEE KLATCH (CART)
STREET_NUMBER
1205
Direction
E
STREET_NAME
NORTH
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
20826001
CURRENT_STATUS
01
SITE_LOCATION
1205 E NORTH ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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#0655 <br />REDITEO PROGRAM <br />National Standards Institute <br />nforence tor Food Protetlion <br />CERTIFICATION <br />ALI MOVASAGH <br />for successfully completing the standards set forth for the ServSafe . Food Protection Manager Certification Examinatior <br />which is accredited by the American National Standards Institute (ANSI)—Conference for Food Protection (CFP). <br />--'...111111111.11111111111 <br />17675346 10677 <br />CERTIFICATE NUMBER <br /> <br />EXAM FORM NUMBER 1hr— <br />4/4/2019 q141 4/4/2024 <br />DATE OF EXAMINATION DATE OF EXPIRATION <br />Local laws apply. Cheek with your local regulatory Atncy for recertification requirements. <br />She Brown <br />Ne Vice President, National Restaurant Association Solutions
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