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COMPLIANCE INFO_2023
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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549
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1600 - Food Program
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PR0547595
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
4/24/2025 1:45:07 PM
Creation date
7/11/2023 9:37:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0547595
PE
1616 - RETAIL MARKET < 1000 SQ FT W / FOOD PREP
FACILITY_ID
FA0027086
FACILITY_NAME
POLLOS AL CARBON EL PEON
STREET_NUMBER
549
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
549 W DR MARTIN LUTHER KING JR BLVD STOCKTON 95206
Tags
EHD - Public
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CERTIFIED PROFESSIONAL FOOD MANAGER <br />Designation Has Been Conferred Upon <br />ADELA ABOITES <br />Who has met all the <br />P R O M E T R I C professional requirements for certitr <br />' , fA*PF� ,rnv;•ire. eafs?k.i �rn.r# �:FniRzkrvflfv <br />/JNSI <br />iCCRf01lf0 PRpGRPM <br />Rmenamx.no.a su.e.�m mu m. <br />Exam 4811 Recognized By Conference For Food Protection <br />n ///111 Certificate No: 2080026 <br />MExam Date: 8/11/22 <br />Ryan McMillion, Client Services Manager Test Code: 6203064912 <br />Expires on: 8/11/27 <br />Prometric 1 7011 Corporate Dnve, Nottingham. MD 21236 1 800.620.2736 <br />ren <br />Q20jy�•Sgs <br />I <br />
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