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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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PR0527285
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/2/2022 2:52:05 PM
Creation date
3/16/2021 8:04:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0527285
PE
1632
FACILITY_ID
FA0018483
FACILITY_NAME
MUSD-MOSSDALE
STREET_NUMBER
455
STREET_NAME
BROOKHURST
STREET_TYPE
BLVD
City
LATHROP
Zip
95330
APN
19119048
CURRENT_STATUS
01
SITE_LOCATION
455 BROOKHURST BLVD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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ANSI <br />ACCREOITEO PROGRAM <br />Amert n National5tandards Institute <br />and the Conference tar Food Protection <br />�E. <br />ossdale Elementary <br />rvSafeo <br />iIFICATION <br />VICTORIA RAMIREZ <br />for successfully completing the standards set forth for the Se"Safe® Food Protection Manager Certification Examination, <br />which is accredited by the American National Standards Institute (ANSIKonference for Food Protection (CFP). <br />f <br />5545 <br />EXAM FORM NUMBER <br />11/17/202 11/17/2026 <br />DATE OF EX NATION DATE OF EXPIRATION <br />Loco laws apply. Ch your local regARcy, For recertification requirements. <br />In accordant me lahour Convmfion 2006, ResoluKan AWN 068201 <br />1 Associafian Edamfional Foundofion INRAEFf. All rights <br />Resfaumnl Association. <br />ced or altered. <br />v.1711 <br />0 <br />t <br />President, Notional Res --- dation Solutions❑� ' . <br />%" <br />i <br />0 <br />ServSafe logo are kadterwrks of the NRAEF. National Restaurant Associotiors1b and the arc design <br />CmW us with questions at 233 S. Wacker Drive, Suite 3600, Chicago, IL 606066383 or ServSaWrestaumm.arg. S <br />
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