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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544654
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
3/7/2024 1:44:29 PM
Creation date
11/14/2023 2:37:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0544654
PE
1626
FACILITY_ID
FA0025379
FACILITY_NAME
AMERICAN SOCIAL
STREET_NUMBER
200
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
200 RIVER RD
P_LOCATION
05
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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.............. ...... <br /> National Registry of Food Safety Professionals <br /> F1039 <br /> 47M Vile <br /> FOOD SAFETY FIRST PRINCIPLES <br /> Food Handier Training Program <br /> JORDAN TARASOFF 07/15/2004 <br /> Employee Name Date of Birth <br /> has successfully completed Food Sofery First Principles:For fond Handlers <br /> Authorized/Nianager Signature <br /> Certificate No.213264.91 <br /> 03/09/2023 03/07/2026 <br /> Date of Completion Expiration Date ................................................................................................ <br /> ..__......._.... <br /> rd°tdwrnf Rcytrrry of Fuad Safer;Profess lor&rs <br /> National Registry of food Safety Professionals -Orlando,FL•%%r%w,.NRFSP.com:-800-446.0257 <br /> JORDAN TARASOFF 07/15/2004 <br /> • Employer/Manager-Keep this stub as proof of completion in employee's file. t'°°'°�*a"`'°e,�y n � ®''e°rBirth <br /> �Morizn�6lanaylef Signatu p <br /> • Detach the certificate and wallet card and,give to the employee. y,03/09/2023 03/07/2026 <br /> DamurComplmn Explrarion®are <br /> NON•TRFI.7FCP..l4Ld aeoy %V".NFVSP.to <br /> xm��rtx 1 0 -TP--A.FrWjE 30d'J•=46.025 <br /> rMKaNhv. <br />
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