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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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PR0161195
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/20/2021 4:26:32 PM
Creation date
6/15/2021 8:42:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161195
PE
1615
FACILITY_ID
FA0000083
FACILITY_NAME
STOP & SHOP MART
STREET_NUMBER
255
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19310014
CURRENT_STATUS
01
SITE_LOCATION
255 E FRENCH CAMP RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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June 24,2021 Lab ID : STK2138315 <br /> Beattie Grocery Customer : 3-18813 <br /> Certification:: I certify that this data package is in compliance with ELAP 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 <br /> signature. <br /> KD:DMB <br /> DleftIiy aye M xely n.aw,�—as. <br /> Approved By KeUy A.Dunnahoo,B.S. ®r.,k:�—,w , <br /> DM 2021L624 <br /> Page 2 of 5 <br />
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