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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LEE
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1125
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1600 - Food Program
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PR0544401
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/23/2021 4:17:03 PM
Creation date
11/23/2021 4:14:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0544401
PE
1608
FACILITY_ID
FA0025243
FACILITY_NAME
VINTAGE ROAST COFFEE
STREET_NUMBER
1125
Direction
S
STREET_NAME
LEE
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
1125 S LEE AVE
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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CERTIFIED <br />nnon sencn•Mnwneea <br />-- .-, _ ^earl. ,.0 <br />1`�/IN lly <br />'[MLaPO4 fR allfafflaaR gp <br />LII'a(reµ61 Atl N p I 1 ;_ <br />el c rs¢a!_.EC�3LPe; <br />6751 Foram Drive, Suite 220, Orlando, PL 32821 <br />P (800) 446-0257 F (407) 352-3603 www.NRFSP.com <br />National Registry of Food Safety Professionals' <br />Notification of Test Result <br />ID#: xxx-xx- <br />Scaled Test Score: 91 <br />Candidate Status: Pass <br />Test Date: January 10, 2018 <br />NATIONAL REGISTRY OF <br />FOOD SAFETY PROFESSIONALS® <br />CERTIFIES <br />SAMANTHA WHITE <br />HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE <br />FOOD SAFETY MANAGER <br />UNDERTHE <br />CONFERENCE FOR FOOD PROTECTION STANDARDS <br />i� <br />4 � <br />i <br />PRESIDENT: <br />LAWRENCE J. LYNCH, CAE <br />ISSUE DATE: JANUARY 10, 2018 <br />EXPIRATION DATE: JANUARY 10, 2023 <br />CERTIFICATE NO: 21418533 <br />TEST FORM: TZS09 <br />This cerliacnle is nul rnlid far more <br />Ihan rive yenrs from drae nrissne. <br />Congratulations! Attached is your certificate and wallet card. Please notify <br />the National Registry of name or address changes at the address below. <br />Preventing Contamination and Cross Contamination (Mastered) <br />Ensuring Personal Hygiene and Employee Health (Mastered) <br />Actively Managing Controls in a Food Establishment (Competent) <br />Monitoring the Flow of Foods (Mastered) <br />Ensuring Product Time and Temperature (Mastered) <br />Conducting Cleaning and Sanitizing (Competent) <br />Managing:Physical Facility Design & Maintenance: Preventing & Controlling Pests (Mastered) <br />National Registry of Food Safety Professionals <br />CERTIFIED FOOD SAFETY MANAGER <br />SAMANTHA WHITE <br />6751 ro,:v:, Pane <br />'a, <br />W"2a, <br />011N.111.. <br />07511.. <br />ron Vm0.0146o2sv <br />Certificate No: 21418533 <br />rhos(407) <br />Issue Date: January 10, 2018 <br />3523603a <br />r.. (non u2a6m <br />fo <br />1`�/IN lly <br />'[MLaPO4 fR allfafflaaR gp <br />LII'a(reµ61 Atl N p I 1 ;_ <br />el c rs¢a!_.EC�3LPe; <br />6751 Foram Drive, Suite 220, Orlando, PL 32821 <br />P (800) 446-0257 F (407) 352-3603 www.NRFSP.com <br />National Registry of Food Safety Professionals' <br />Notification of Test Result <br />ID#: xxx-xx- <br />Scaled Test Score: 91 <br />Candidate Status: Pass <br />Test Date: January 10, 2018 <br />NATIONAL REGISTRY OF <br />FOOD SAFETY PROFESSIONALS® <br />CERTIFIES <br />SAMANTHA WHITE <br />HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE <br />FOOD SAFETY MANAGER <br />UNDERTHE <br />CONFERENCE FOR FOOD PROTECTION STANDARDS <br />i� <br />4 � <br />i <br />PRESIDENT: <br />LAWRENCE J. LYNCH, CAE <br />ISSUE DATE: JANUARY 10, 2018 <br />EXPIRATION DATE: JANUARY 10, 2023 <br />CERTIFICATE NO: 21418533 <br />TEST FORM: TZS09 <br />This cerliacnle is nul rnlid far more <br />Ihan rive yenrs from drae nrissne. <br />Congratulations! Attached is your certificate and wallet card. Please notify <br />the National Registry of name or address changes at the address below. <br />Preventing Contamination and Cross Contamination (Mastered) <br />Ensuring Personal Hygiene and Employee Health (Mastered) <br />Actively Managing Controls in a Food Establishment (Competent) <br />Monitoring the Flow of Foods (Mastered) <br />Ensuring Product Time and Temperature (Mastered) <br />Conducting Cleaning and Sanitizing (Competent) <br />Managing:Physical Facility Design & Maintenance: Preventing & Controlling Pests (Mastered) <br />National Registry of Food Safety Professionals <br />CERTIFIED FOOD SAFETY MANAGER <br />SAMANTHA WHITE <br />6751 ro,:v:, Pane <br />'a, <br />W"2a, <br />011N.111.. <br />07511.. <br />ron Vm0.0146o2sv <br />Certificate No: 21418533 <br />rhos(407) <br />Issue Date: January 10, 2018 <br />3523603a <br />r.. (non u2a6m <br />Expiration Date: January 10, 2023 <br />,.w,+.rynnsnran: , <br />SAMANTHA WHITE <br />TARGET 10424 TRINITY PKWY <br />STOCKTON, CA 95219 <br />National Registry of Fond Safety Professionals® 1 6751 Forum Drive Ste 220 1 Orlando, FL 32821 1 Phone: 407.352.3830 1 Fax: 407.352.3603 <br />
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