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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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3800
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1600 - Food Program
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PR0521410
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
4/7/2021 9:02:29 AM
Creation date
2/17/2021 9:00:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521410
PE
1626
FACILITY_ID
FA0002327
FACILITY_NAME
STOCKTON GOLF & COUNTRY CLUB
STREET_NUMBER
3800
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
10902006
CURRENT_STATUS
01
SITE_LOCATION
3800 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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iN3Efe+}lrsz�. 9h9'r a �i#P � <br /> s i <br /> y i <br /> , 1^- x <br /> n ".+'" 10 <br /> "" FOOD MANAGER PRO <br /> DesignaUon Has Been Conferred Upor <br /> t <br /> L�.✓ `i '.�"`�Cx-1�� `ah ,# �s �Y,,L }9n5 tfz.: M x�f�� 9 'ter -" 3�, <br /> i ,x:Effi:�ka�*.t, vO, aA.' <br /> rr2 <br /> ROBERT ELLISON <br /> . YUPtp teas rrtt;i rah ttx> ✓� �� i <br /> P R O M E T R I C •••- !rotesfionrl roquirE me its far coatification in <br /> ���• food servi-o Safety Etri(�SQI?1i23tir,7i 1. <br /> #0659 <br /> Exam 2111 Recognized By Conference For Food Protection <br /> Certificate No: 1001924 <br /> Exam Date: 02/1212021 <br /> Prometric 1 7941 corporate Drive,Nottingham,MD 21236 1 600.624.2736 Test Code• 62030422111 ` <br /> Expireson: 02/12/2026 <br />
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