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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0538932
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/9/2021 3:12:28 PM
Creation date
1/20/2021 9:12:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538932
PE
1624
FACILITY_ID
FA0022361
FACILITY_NAME
THAI JASMINE
STREET_NUMBER
29
Direction
W
STREET_NAME
TENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
29 W TENTH ST
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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ServSafe <br /> CERTIFICATION <br /> ANDREW PITCOCK <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 /> 10749 <br /> BER EXAM FORM NUMBER <br /> 1/30/2021 1/30/2026 <br /> DATE OF EX4MINATION DATE OF EXPIRATION <br /> Local laws apply.Ch I <br /> with your local regu for recertification requirements. <br /> `F Sher n <br /> #0655 E tl v ice President,National Rest ciotion Solutions p 'p <br /> 0 <br /> In aowrd—.= mn.Dour Corrva A.2006,R—W.ADM N 068.20131RegJ,lian 3.2 <br /> 1 Association U-6onal Fo JAk M W.All ACkh nes SmSA logo an kodsmar6 of the NRAEF.Nakonol Resiourml Aa iolio,M avid the arc devgn <br /> -ore bads,"of the Ndmal Rw—t Assod h- <br /> This d—'cvewt 6.np,odnd«ah«.d <br /> 17110811 v.1711 Conon us with qua H—at 233 S.Wades Ddi.,Si.3600,aticaga,IL 606066383 or ServSals®reswvrmt.org. <br /> ZP � 10 5� <br />
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