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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROOKHURST
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1600 - Food Program
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PR0527285
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/25/2024 2:54:02 PM
Creation date
3/22/2024 10:04:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0527285
PE
1632 - EXEMPT FOOD
FACILITY_ID
FA0018483
FACILITY_NAME
MUSD-MOSSDALE
STREET_NUMBER
455
STREET_NAME
BROOKHURST
STREET_TYPE
BLVD
City
LATHROP
Zip
95330
APN
19119048
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
455 BROOKHURST BLVD LATHROP 95330
Tags
EHD - Public
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2.. <br /> dial* <br />AerredrIaloon Beard '.411P"' <br />ACCREDITED PROGRAM <br />ANSI National Accreditation Board <br />and the Conference for Food Protection <br />#0655 <br /> <br />c7k oc21.7-C <br />ServSa;me Mossdale Elementary <br /> <br />National Restaurant Association <br /> <br />TM <br />ServSafe® <br />CERTIFICATION <br />NICOLE GIOVANNONI <br />for successfully completing the standards set forth for the ServSafe® Food Protection Manager Certification Examination, <br />which is accredited by the ANSI (American National Standards Institute) National Accreditation Board (ANAB)— <br />Conference for Food Protection (CFP). <br />- 59357401w._ 5665 <br />CERTIFICATE NU ER EXAM FORM NUMBER <br />7/8/2024 7/8/2029 <br />Sherman Brown <br />e'Cutive Vice President, Business Servic _ - <br />DATE OF EX !NATION . DATE OF EXPIRATION <br />Local laws apply. Che with your local regulatory agcy for recertification requirements. i <br />41fr' . . <br />In accordance with Marittme Labour Convention 21/1114, Resolution ADM N 068-2013 (Regulation 3.2, Sta <br />©1980-e2MI National Restaurant Association Educational Foundation (NRAEF). All rights rese t fee, NRAEF, National Restaurant Association and National Restaurant Association Solutions, LLC (Solutions) <br />names and logos are registered trademarks used under license by Solutions and may not be o ise used without the explicit written permission of the owner of each mark. <br />This document cannot be reproduced or altered. <br />Contact us with questions at 233 S. Wacker Drive, Suite 3600, Chicago, IL 60606-6383 or ServSafe@restourant org.
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