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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SACRAMENTO
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731
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1600 - Food Program
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PR0516368
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/3/2021 11:27:55 AM
Creation date
2/4/2021 8:03:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0516368
PE
1635
FACILITY_ID
FA0012580
FACILITY_NAME
LA SUPERIOR #1 (#1J94261)
STREET_NUMBER
731
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04524011
CURRENT_STATUS
01
SITE_LOCATION
731 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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I pW59 <br /> 641/L( vi PABLO OCHOA <br /> Hqc {naf Ihp t�r•; cpa �: rar. , �.pn- p � ig fns <br /> I <br /> FOOD MANAGER CERTIFICATION <br /> I <br /> Exam 3011 Recognized By Conference For Food Protection <br /> 008619771 12/07/ 17 <br /> ID # Exam Date <br /> Cert # <br /> 1982630 Expires On 12/07/22 <br /> ' I <br />
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