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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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PR0540622
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/28/2021 2:15:15 PM
Creation date
8/31/2021 4:24:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0540622
PE
1614
FACILITY_ID
FA0023235
FACILITY_NAME
PAPA JOHNS PIZZA
STREET_NUMBER
318
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
318 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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i <br /> EVIDENT xy�dvv �� <br /> N3dWV1 LN3(M363dWVIiN3alA3t13dWVIIN301A3tl�dWV1 <br /> CERTIFIED PROFESSIONAL FOOD MANAGER; <br /> Designation Has Been Conferred Upon d <br /> :s <br /> KRISTIANNE JACQUELINE STAAB <br /> PROMETRIC _ V N <br /> #0659 O <br /> Exam 5021 Recognized By Conference For Food Protection 3 <br /> T <br /> Certificate No: 2107093 <br /> Exam Date: 11116120 /1 <br /> �V II (V 11 Test Code: 6203045021 <br /> Ryan McMillion,Client Services Manager Expires on: 11116125 ^ <br /> Pronietric 1 2931 Carpmale Dnve,Nolangham,MD 21236 l 800.624.2736 �y <br /> S <br />
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