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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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PR0515778
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
5/12/2022 1:49:38 PM
Creation date
4/11/2022 8:33:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0515778
PE
1625
FACILITY_ID
FA0012349
FACILITY_NAME
SHORTY'S SPORTS PUB & GRILL
STREET_NUMBER
1205
STREET_NAME
PLAZA
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22530084
CURRENT_STATUS
01
SITE_LOCATION
1205 PLAZA AVE STE 11
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Time: 11 :11 <br /> * A C K N O W L E D G E M E N T <br /> MODE United Refrigeration, Inc <br /> 1123 Lone Palm Ave. <br /> Modesto CA 95351 (209) 526-1022/ <br /> #: 1150053 SHIP TO: Order Date: 04/11 /22 Whse: OFO ORDER#: 83962986-00 <br /> --- ---------- <br /> ed By <br /> Taken By Salesrep Out <br /> ned EOO <br /> TO: (209) 450-2713 FAX#: SHIP TO: <br /> ON'S HEATING & AIR AARON'S HEATING & AIR <br /> ****COD ACCOUNT**** *****COD ACCOUNT**** <br /> 38 BEVANDA CT 438 BEVANDA CT <br /> KDALE, CA 95361 OAKDALE, CA 95361 <br /> over PO- Special Instructions: <br /> Via: PICK-UP Request Date: 04/12/22 Ship Date: Terms: ** COD ** <br /> ------------------------------------------------------------------------------------------- <br /> Produc_t Quantity Quantity Quantity Qty Unit Net <br /> And Description Ordered H.O. Shipped Um Price Price <br /> ------------------------------------------------------------------------------------------- <br /> 1 14-416 1 each 37 .22000 x 37 .22 <br /> handle cover <br /> 2 14-415 1 each 43.10000 * 43. 10 <br /> pull handle <br /> 2 Lines Total n n`�6D / \,���� Total 80.32 <br /> Freight Out 25.00 <br /> Taxes 6.32 <br /> Invoice Total 111 .64 <br /> ** NOT AN INVOICE OR RECEIPT ** <br /> I acknowledge that this order includes non-stock <br /> merchandise ordered by United Refrigeration specifically <br /> on my behalf. I further agree that the product meets the <br /> proper specification requirements and that I will accept <br /> delivery of the product upon receipt by United Refrigera- <br /> tion and make payment within the standard agreed upon <br /> terms. <br /> ALL NON-STOCK ORDERS ARE SUBJECT TO ACTUAL <br /> INBOUND FREIGHT CHARGES INCURRED( <br /> Signature: <br /> Printed Name: <br /> Date: <br />
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