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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547567
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
3/31/2022 4:03:43 PM
Creation date
3/31/2022 4:01:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547567
PE
1608
FACILITY_ID
FA0027060
FACILITY_NAME
ASH BLOSSOM BAKERY
STREET_NUMBER
402
STREET_NAME
QUAIL RUN
STREET_TYPE
CIR
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
402 QUAIL RUN CIR
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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ServSafe <br /> National Restaurant Association <br /> ...AtervSafea <br /> CERTIFICATION <br /> BAILEY POOLE <br /> for successfully oomplefing the standards set forth for the ServSafeO Food Protection Manager Certification Examination, <br /> which is accredited by the American Notionaf Standards Institute (ANSIKonference for Food Protection(CFP). <br /> X347255 10556 <br /> NUMBER EXAM FORM NUMBER <br /> 7/18 7/18/2022 <br /> DATE OF E INATIO*- DATE OF EXPIRATION <br /> tOCGI IW S apply.C with your local regulatory enry for recertification requirements. <br /> .SIIB 'BrOWn <br /> aliona� Restaurant Association Solutions <br /> 40655 OO <br /> W C«oedm2006.6wld ADM N0682013IRa,".7251.ndod/J2) <br /> 0. <br /> L 2015R�rmi Auaualm Fdmvd Fowdm,m .F) NI nth revmd SmSdeA vd tlm Sv+Sole Iwc�renadanaL.-(is.NP.,aC <br /> N,nmd R��+ocwa.P ad rte nd--4,d♦e�I R�� <br /> nhad6aeeMco.6.rep.doh tai h r d <br /> In02sot ..1401 Cm us wdh quNion.d 175 w Jadmn Blvd.de 1500,Chicago,IL.60600 a S.SokermtmaM.ag. <br />
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