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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MOUNTAIN HOUSE
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19677
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1600 - Food Program
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PR0548088
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/15/2023 1:51:45 PM
Creation date
6/27/2023 11:12:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548088
PE
1624
FACILITY_ID
FA0027436
FACILITY_NAME
MOUNTAIN MIKE'S PIZZA
STREET_NUMBER
19677
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19677 MOUNTAIN HOUSE PKWY
P_LOCATION
03
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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CERTIFIED ,„„„, AI/ rY fiR <br />HARMEET SINGH <br />4751 Forum i),), <br />5004 110 <br />Orlando. 'loll <br /> <br />Toll rim (SOW 444 0147 <br />Phone (40/1 352 OtiS <br />Pat (407)352.1401 <br />Ceniticate No: 21903628 <br />Issue Date: January' 12. 2023 <br />Expiration Date: January 12.2028 <br /> <br />wont NJWSP.coni <br /> <br />Ndtional Registry of Food Safety Professionals <br />CERTIFIED FOOD SAFETY MANAGER <br />NATIONAL REGISTRY OF <br />FOOD SAFETY PROFESSIONALS® <br />CERTIFIES <br />HARMEET SINGH <br />HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE <br />FOOD SAFETY MANAGER <br />UNDER THE <br />CONFERENCE FOR FOOD PROTECTION STANDARDS <br />PRESIDENT: <br />LAWRENCE J. LYNCH, CAE <br />(CD <br />OCC1181111111 PINIIROM <br />mins Coloono Pool Ileolullso <br />6751 Forum Drive, Suitt 220, Orlando, FL 32821 <br />P (800) 446-0257 F (407) 352-3603 www.NRFSP.com <br />National Registry of Food Safety Professionals' <br />Notification of Test Results <br />ID#: xxx-xx- <br />Scaled Test Score: 84 <br />Candidate Status: Pass <br />Test Date: January 12, 2023 <br />Congratulations! Attached is your certificate and wallet card. Please notify <br />the National Registry of name or address changes at the address below. <br />ISSUE DATE: JANUARY 12, 2023 <br />EXPIRATION DATE: JANUARY 12, 2028 <br />CERTIFICATE No: 21903628 <br />TEST FORM: EZS50 <br />This cedilicatc 14 not valid fag more <br />than five years from date of tssue <br />HARMEET SINGH <br />2564 STORY CT <br />TRACY, CA 95377 <br />Ensuring Personal Hygiene (Competent) <br />Managing Food Holding Time and Temperature (Competent) <br />Preventing Contamination, Cross-Contamination, and Cross-Contact (Competent) <br />Managing Cooking Times and Temperatures (Mastered) <br />Monitoring the Flow of Foods (Competent) <br />Actively Managing Controls in a Food Establishment (Competent) <br />Managing the Physical Food Establishment/Equipment Design and Maintenance (Competent) <br />Managing Cleaning and Sanitizing Activities (Competent) <br />i\f\ovq\--Vor\ 6IV\ 1L-e '5 <br />9.t <br />\ (0-/ -/ <br />O go <br />National Registry of Food Safely Professionals* 1 6751 Forum Drive Ste 220 1 Orlando, FL 32821 I Phone: 407.352 3830 1 Fa s 10 - lc )1
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