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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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1600 - Food Program
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PR0161211
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
7/1/2021 4:43:42 PM
Creation date
4/13/2021 4:30:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161211
PE
1618
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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ACCIIMMOMMRA <br />AmeranNanomilSMWards1 <br />SelorNON <br />Ryan McMillian, Client Services Manager <br />California State Food Safety <br />1-888-870-0850 <br />777.7111111ralli <br />---- <br />11111111VIT <br />RTIFIED PROFESSIO L NOD IMAGE <br />Designation Has Been Conferred Upon <br />SHABANAM SAGGI <br />(\oris-h fake. <br />\-N3 CThrol-A- <br />Who has met all the <br />professional requirements for certification in <br />food service safety and sanitation. <br />#0659 <br />METRIC <br /> <br />• <br />Exam 5312 Recognized By Conference For Food Protection <br />Certificate No: 2097957 <br />Exam Date: 06/20/20 <br />Test Code: 6203065312 <br />Expires on: 06/20/25 <br />• <br />36 <br />rilliffiternlitffinfMr
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