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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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39
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1600 - Food Program
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PR0160979
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
9/1/2022 12:11:03 PM
Creation date
8/4/2022 7:39:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160979
PE
1617
FACILITY_ID
FA0002381
FACILITY_NAME
SUPERSAVE MARKET
STREET_NUMBER
39
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14716038
CURRENT_STATUS
01
SITE_LOCATION
39 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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State Food Safety ' <br /> Food Safety Training&Certification <br /> StateFoodSafety <br /> FOOD MANAGER CERTIFICATION <br /> for successfully completing the StateFoodSafety Food Protection Manager Certification Exam. <br /> This exam is accredited by the American National Standards Institute(ANSI). <br /> Aug , <br /> g 2022 13f8gd-j77fa89 <br /> ��> <br /> • OOD <br /> •b4' s ► s <br /> DATE OF ISSUANCE VERIFICATION NUMBER <br /> Valid five(5)years from date of issuance. CERTIFIED Verify certificate online at <br /> www.statefoodsafety.comNerify <br /> 27 a ; <br /> EXAMINATION FORM ^"' -- VERIFICATION CODE <br /> Bryan Chapman,CC ,CP-FS Use any QR code reader on a <br /> S� StateFoodSafety mobile device to verify. <br /> Contact us at www.statefoodsafety.com. <br /> Copyright©2022 StateFoodSafety,a division of Ab—Training Inc.All rights reserved.This document cannot be reproduced or altered. <br /> ---------------------------------------------------------------------------------------------------------------- <br /> 1= 1—————————————————————————————————————————————— 1�---------------------------------------------- <br /> OZot 01 NO 41 H' <br /> 1 paaa;Ie ao paanpoidaa aq;ouuea;uawnaop slyl r 1 -lowa;Ie io paanpomdai aq;ouuea;uawnaop syl r <br /> 1paniasa�s;y6u Ilyaul 6u1u1e�lanogyfo uolsnlp e'/�;afe5pooja;e;S oZoZ O;g6wCdoD 1pan�asa�s;y6u pyaul 6u1u1ealanogy fo uolslnlp e'�(;afe5pooja;e;5 oZpZ ;y6u,(doU <br /> worA;a;espoo;a;e;s-n mm le sn;ae;uoD 1 wm',Qafespoo}a;e;s'mmm;e sn;ae;uoD 1 <br /> 1 1 1 1 <br /> 1 1 1 1 <br /> 'A4!JaA o;aalAap allgow 1 r '/paaA o;aalAap allgow 1 <br /> e uo lapea;apoa ya Aue asn i e uo 2apea;apo:)uo/ue asO i <br /> 1 7 1 <br /> r r <br /> o' o o' o <br /> 1 •a;n;ljsul spaepue;S IeuolleN ue:)uawy ayj Aq pa;lpaa»e sl wexa slyl 1 •a;nipsul spaepue;S Ieuol;eN ue:)uawy ayt 2(q pa;lpaa»e sl wexa s)41 <br /> •wexa uoiMr}l;aa:)a86eueyl uoi;aa;oad pooj Ajejespoojeje;s -wexa uol;ex}l;aaD aa6eueyl u093840ad pooj Ajejespoodeje;s <br /> ay;pataldwoD AIlnjssa»ns set{paeD s)q3}o aaplot{ayl ay;pataldwo:)AIlnjssa»ns sey pies slg3;o aaploq a41 ; <br /> 1 1 1 1 <br /> 1 <br /> StateFoodSafety! StateFoodSafetyivjJ/ , <br /> FOOD MANAGER CERTIFICATION FOOD MANAGER CERTIFICATION <br /> Aug 4, 2022 27 Aug 4, 2022 27 <br /> Date of Issuance Examination Date of Issuance Examination <br /> (Valid 5 Years) Form , , (Valid 5 Years) Form <br /> j <br />
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