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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELLIOTT
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1600 - Food Program
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PR0546753
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/11/2022 4:15:16 PM
Creation date
5/11/2021 2:14:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546753
PE
1608
FACILITY_ID
FA0026501
FACILITY_NAME
ELLIOTT ROAD BARN
STREET_NUMBER
23216
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
23216 N ELLIOTT RD
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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April 1,2021 Lab ID : STK2133363 <br /> Judie rdsell Customer :3-18723 <br /> Certirication:: I certify that this data package is in compliance with BLAI'standards.both technically <br /> and for completeness.except for any conditions listed above. Release of the data contained in this data <br /> package is authorized by the laboratory Director or his designee,as verified by the following electronic i <br /> signature. <br /> KD:DNlB <br /> a <br /> �� is.n o:.p�.�...• <br /> AppmvcJ By Kelly A.Ilunnnhoo,B.S. <br /> { <br /> f <br /> ""/'' • Page 2OF5 <br /> I r <br />
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