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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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PR0535887
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/8/2022 1:53:51 PM
Creation date
10/18/2022 1:33:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0535887
PE
1680
FACILITY_ID
FA0020663
FACILITY_NAME
CENTRAL VALLEY KITCHENS
STREET_NUMBER
259
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04919050
CURRENT_STATUS
01
SITE_LOCATION
259 S GUILD AVE STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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StateFoodSafety <br /> Faod Safety Training&Certification" <br /> StateFoodSafety <br /> FOOD MANAGER CERTIFICATION <br /> �arff, C9vwaw <br /> for successfully completing the StateFoodSafety Food Protection Manager Certification Eaam. <br /> This exam is accredited by the American National Standards Institute(ANSI). <br /> Aug 3, 2022 13f3ab-j778khh <br /> DATE OF ISSUANCE •1 VERIFICATION NUMBER <br /> Valld fivelS)years0om tlaled BsoaMe. Verigcadrkareomineat <br /> www.sutelaetlufetywmNeMy <br /> 36 o <br /> EXAMINATION FORM R�"'� VERIFICATION CODE <br /> SNfefIXdLk1Y Dse '(PHeede lPed¢l ona <br /> WlPdevltt lOVPdry. <br /> +eCmtxl ufnwwxsortkdlulerysam mv.r <br /> ms inn ol.RmrryI,,I .nroEia ur�rv� <br /> 11 j <br /> proem tlrot al 1 <br /> 1 'puaye+a patnpaMaraq louuealwwnxpsl4l i 'Paunew wanpa,ea+aq lauunludwnMp y41 <br /> ( 'Wn✓asw sl4EM+IIV'au16ul01wlawgVp wlslnlpe HlaleSpooiate15020L 0146pkbJ 1 1 'Pan+asar n46P lltl'au1601uleLLamgtl to uolSNlP e'tlN14i�a1eded50202 w46p4foJ <br /> TOT <br /> � uwrNatespooNledruMv.de sn NelwJ i � wmAN)HpooNdeds'mrw.de sndmuoJ <br /> 1 1 <br /> i 'Nuan od annap glgow i 'ypanwalnap allgow � <br /> � euo+apea+apoa tlO Rue asO ; wapea apoa ap Rue azO 1 <br /> 1 <br /> i <br /> �I <br /> 1 � � <br /> ; 1 <br /> i -almpsul SP+epuelS leuolpeN ue>pawV ay1 Aq palipan>e sl wexa sjLU , 'a3mpsul spiepuel5 leuo.4 ue>pawy ay1 Aq palipw»e sl wexa slyl <br /> i •wexa u014"UnaaD sa6eueW uoll>aSOAd Pood 61ajeSPoodmns •wexa 110110)VIV63 aa6euety 11011Moad PoM Ala/aSPoOOMS <br /> aye palaltlwo>Apnissw>ns sey Pin s141)o aap104 aye aye palaldwoJ Apn}ssanns sey pin s!yl)o iaploy ayy � <br /> 1 1 <br /> 1 <br /> i <br /> 1 � <br /> StateFoodSafety 111 StateFoodSafety" 141 <br /> 1 <br /> FOOD MANAGER CERTIFICATION FOOD MANAGER CERTIFICATION <br /> 1 1 <br /> 1 1 <br /> Sara Cowan Sara Cuva'n <br /> Aug 3, 2022 36 Aug 3, 2022 36 <br /> Daleofl.uanoe - wnnlnatbn Dateoflsswnce Examination <br /> IValld 5Vears) Form IVdIW SVears) Form <br />
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