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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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PR0546477
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
3/11/2021 8:53:57 AM
Creation date
3/11/2021 8:49:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546477
PE
1608
FACILITY_ID
FA0026346
FACILITY_NAME
209 BAKERY
STREET_NUMBER
954
Direction
W
STREET_NAME
LONGVIEW
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
954 W LONGVIEW AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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5. <br /> JAN 0 u Nil <br /> ServS a,7ff e ENVIRONMENTAL HEALTH <br /> PERMITfSERVICES <br /> iI <br /> OCERTIFICATIONerv$a e <br /> MELISSA MATHER <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 /> 363634 5127 <br /> UMBER EXAM FORM NUMBER <br /> 3/2/2 3/2/2021 <br /> DATE OF ]iJATION DATE OF EXPIRATION <br /> Local laws apply.C 'ilk your lxal regulatory agency for recertification requirements. <br /> Spermatr Brown _ <br /> - <br /> S\/F, <br /> National Reouurcnt Association 5o1u <br /> '., (10655 _ _ _ FEINT:� <br /> h a.M..wih M ii. -t;an 1006.R�w6rt n AW N 0tH 201 s�..gJ_+ien i Sb-4A <br /> 01015 Nalimd h�� <br /> "Fwndafin MAU),All rets d.Sm5dv5 oad rls oa badenvbdlw tJRAFf. <br /> Nor _NOW <br /> :r_,. _ <br /> h <br /> 10 - Camel w tiA qusims m 175 W J d.Bpd.Sm 150,Chi,,L.60404 a Sm•5de@rveu + <br />
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