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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELLIOTT
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1600 - Food Program
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PR0546753
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
6/23/2022 1:57:52 PM
Creation date
6/23/2022 1:55:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0546753
PE
1608
FACILITY_ID
FA0026501
FACILITY_NAME
ELLIOTT ROAD BARN
STREET_NUMBER
23216
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
23216 N ELLIOTT RD
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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March 28, 2022, <br />Julie Edsell <br />Lab ID : STK2233500 <br />Customer :3-18723 <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:MKH <br />�g Digil.11, signed by KI -2, A. Dennahno, B.S. <br />Approved By Kelly A. Dunnahoo, B.S. WV rae.hne.., Dlmalo. <br />Dale: 202203-]B <br />Page 2 of 5 <br />
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