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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PELTIER
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1991
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1600 - Food Program
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PR0538083
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/4/2020 9:29:32 AM
Creation date
11/4/2020 9:28:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0538083
PE
1608
FACILITY_ID
FA0021998
FACILITY_NAME
KIM DUKES OLD VINE BAKESHOP
STREET_NUMBER
1991
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00318010
CURRENT_STATUS
01
SITE_LOCATION
1991 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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CERTIFIED PROFESSIONAL FOOD MANAGER <br /> Designation Has Been Conferred Upon <br /> Provided by: <br /> PremierFoodSafety <br /> NICOLE RENAE DUKE 1-800-676-3121 <br /> www.PremierFoodSafety.conn <br /> Who has met all the <br /> 1 1 professional requirements for certification in <br /> food service safety and sanitation. a <br /> #0659 <br /> Exam 2221 Recognized By Conference For Food Protection <br /> ,n Certificate No: 1967716 <br /> Exam Date: 08/25/17 <br /> f r` <br /> Ryan McMillin,client Services Manager Test Code: 6203042221 <br /> Promeirc 17941ComoraleDrive,Nottingham,MD21236 1 800.629.2736 Expires on: 08/25/22 <br /> s <br /> +�`3s�•as;:- <br />
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