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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0162111
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/16/2021 10:32:30 AM
Creation date
3/10/2021 4:54:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0162111
PE
1632
FACILITY_ID
FA0000796
FACILITY_NAME
MUSD-GOLDEN WEST SCHOOL
STREET_NUMBER
1031
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21707006
CURRENT_STATUS
01
SITE_LOCATION
1031 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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C' (z 1b21tI <br /> Golden West Elementary <br /> 0 <br /> Sery n,.. fe <br /> CERTIFICATION .......... <br /> DANIELLE SILVA <br /> for successfully completing the standards set forth for the Se. V Food Protection Manager Certifiootion Examination, <br /> which is accredited by the American National Standards4nstitute(ANSI}Conference for Food Protection (CFP). <br /> 206 5520 <br /> TIFICATE ER EXAM FORM NUMBER <br /> 5/19/2021 5/19/2026 <br /> DATE OF EX MINATION DATE OF EXPIRATION <br /> Local laws opply.Ch with your local regulatory ag cy For recertification requirements. <br /> Sher brown <br /> 40655 utive Vice President,National Restaurant As iotion Solutions 0 <br /> I�V <br /> Fn acmrd.wi CowwaR w 2006,Resatt m ADM N 068-2013(RaWkirm 3.2.Skar, d <br /> asd Roo war Association 15&"lonoi Farsdo m{NUM.Al rights reamed.Srd ai R SvvSofe bgo are nadnnw6 of 6*1% A .NeiorA Rabovsom Assoda'arM and 4m arc design <br /> are kodarmria of the hk>tioncl Reslaupw Asso;Aon. <br /> This doaaw f comes 6e nprodmad or ol", <br /> 17110811 V.1 Ca Mad us wA quasGa s at 233 S,wodmr Drive,suite 3600,Chicago,IL 60606,6383 or SvvSofo@rcsfiuroM.org. <br /> S <br />
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