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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2324
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1600 - Food Program
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PR0545010
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
3/5/2021 9:08:03 AM
Creation date
2/9/2021 2:36:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0545010
PE
1613
FACILITY_ID
FA0025606
FACILITY_NAME
EDGE NUTRITION
STREET_NUMBER
2324
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2324 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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- NA 10WILZ REGISTRY OF <br /> yOf F000, ' `Fy ODSAFETY-P.ROFESS10NAf5® <br /> 'CEtmFIES � <br /> SUSANA_CRU Z <br /> ' i Z HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE <br /> v <br /> V-4 F000SAFETY`MANAGER <br /> CERTIFIED, UNDER THE <br /> lmnsartrcA+Haw H I 'CONFERENCE FOR FOOD PROTECTION STANDARDS <br /> t _ <br /> ♦. L% <br /> q PRESIDENT: <br /> • { LAWRENCE J.Lm CH;CAE <br /> _ J <br /> ISSUE DATE:DECEMBER 20,2020 <br /> • ! <br /> JJ EXPIRATION DATE:DECEMBER 20.202S <br /> •" _', CERTIFICATE No:21716613 <br /> TEST FORW EXE92 <br /> I 6ISi Forum Odn,Sola 320,Or4mb.FL 32a2t ieemdhrbrwHe,s. <br /> P 16 91noal RqW 407I2 SaIrt wwNR mals'm <br /> Nnlend Registry ofFood tarry Pmfmion.li <br /> `— eee� 9 WtbmlR�inryefFoed Wary lhv(mbn.G <br /> 1 Notification of Test Results d CERTIFIED FOOD SAFETY MANAGER <br /> IDA:xIX-X2t- s <br /> ' Scaled Test Seom:84 SUSANA CRUZ - <br /> Candidate Status:Pass ' <br /> Test Date:December 20,2020 - m� <br /> 1 aau.l+n...m .1]Ahae Mr:Sl>IHiI <br /> wrrwnm.: <br /> I 1®anr:D®6c2a taN <br /> Thr P.>gndw tae:w..ss,.N,eon l <br /> 1 (Arlgralnlatl0ndl AWrhNn yoln arrifmto and mita ab.Muse ratty SUSANA CRUZ <br /> 1 the National Reguay ofwne er addras lunges at art address belor. 1447W SONOMA AVE <br /> STOCKTON,CA 95204 j <br /> E..ft Personal Hypbm(Needs mWsi4 <br /> Mania"Food Its"TMe aM Temyeratuma(CamPe" <br /> Prs raft Contsmbuaan.CrossCeieanm .and Crosstaded(Cemosbam) <br /> Menao v CookMp T and Tem watmas(Mestemay <br /> MonXmhp am Fla.of Foods(Atodwea) <br /> Adk*Wnaft Conbda F a Food EUa00sta e l(Cal%whs,0 <br /> Managtp Oro Prrysbl Food tIrV AaPva RIECW Iai DeN6n erM Matrdennlre(Ahsiemd) <br /> ManagaN CManMO aril aanandN AtlNBea(Caneebn8 <br /> Na Rmtseyof Foodsafay Nufmiuuh 1 6731Fmom Dtfwa 1201 OrIWo.1`02E21 1 P6au:407J622630 1 Fas:402.0623600 <br />
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