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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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6571
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1600 - Food Program
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PR0546353
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/19/2024 3:46:02 PM
Creation date
12/29/2020 12:41:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0546353
PE
1608
FACILITY_ID
FA0026270
FACILITY_NAME
GOT FANCY!
STREET_NUMBER
6571
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
6571 E HWY 12
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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November 3,2020 Lab ID : STK2054855 <br /> Kris Nies Customer : 3-18581 <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:DMB <br /> D'iI.Hy xc�Ey XWIy A.D 6oe,B.S. <br /> Approved By Kelly A.Dunnahoo,B.S. 0nn= .eemmvoi«la. <br /> On=.10]011-01 <br /> Page 2 of 5 <br />
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