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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DAFFODIL HILL
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17738
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1600 - Food Program
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PR0548751
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/11/2024 11:46:55 AM
Creation date
10/11/2024 11:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548751
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0027914
FACILITY_NAME
ASTRO TREATS
STREET_NUMBER
17738
STREET_NAME
DAFFODIL HILL
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
17738 DAFFODIL HILL ST LATHROP 95330
Tags
EHD - Public
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CAUTION: NOT TO BE USED FOR <br />IDENTIFICATION PURPOSES <br />THIS IS AN IMPORTANT RECORD. <br />FEG ARD IT. <br />ANY ALTERATIONS IN SHADED AREAS <br />RENDER FORM VOID <br />CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY <br />This Report Contains Information Subject to the Privacy Act of 1974, As Amended. <br />1. NAME (Last, First, Middle) <br />TERAMU, FIONA <br />2. DEPARTMENT, COMPONENT AND BRANCH <br />USMC-1 I <br />3. SOCIAL SECURITY NUMBER <br />700-1411ft.1 ANEW <br />4a. GRADE, RATE OR RANK <br />CPL <br />b. PAY GRADE <br />E4 <br />5. DATE OF BIRTH (YYYYMMDD) <br />19910830 <br />6. RESERVE OBLIGATION TERMINATION DATE <br />(YYYYMMDD) 20140103 <br />7a. PLACE OF ENTRY INTO ACTIVE DUTY <br />SACRAMENTO, CA 95334 <br />b. HOME OF RECORD AT TIME OF ENTRY (City and state. or complete address if known) <br />r <br />8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND <br />VMMT-204 MAG-26 2D MAW. JACKSONVILLE NC <br />b. STATION WHERE SEPARATED <br />IPAC NICAS NEW RIVER (45144) <br />9. COMMAND TO WHICH TRANSFERRED <br />Commander, Marine Forces Reserve. 2000 Opelousas Ave.. New Orleans. LA 70146-5400 RI._ C' 36005 <br />10. SGLI COVERAGE NONE <br />AMOUNT: $ 400,030 <br />11. PRIMARY SPECIALTY (List number, title and years and months in <br />specialty. List additional specialty numbers and titles involving periods of <br />one or more years.) <br />0431. LOG/EMBARK SPECIALIST (PMOS). 03 YEARS. II) MONTIIS <br />12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S) <br />a. DATE ENTERED AD THIS PERIOD 2011 02 14 <br />b. SEPARATION DATE THIS PERIOD 2015 06 13 <br />c. NET ACTIVE SERVICE THIS PERIOD 04 04 00 <br />d. TOTAL PRIOR ACTIVE SERVICE 00 GO 00 <br />e. TOTAL PRIOR INACTIVE SERVICE 00 00 00 <br />f. FOREIGN SERVICE 03 02 29 <br />g. SEA SERVICE 00 00 00 <br />h. INITIAL ENTRY TRAINING 00 03 25 <br />i. EFFECTIVE DATE OF PAY GRADE 2013 06 01 <br />13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN <br />RIBBONS AWARDED OR AUTHORIZED (All periods of service) <br />JOINT MERITORIOUS UNIT AWARD. MARINE CORPS GOOD CONDUCT <br />MEDAL. NATIONAL DEFENSE SERVICE MEDAL, AFGHANISTAN <br />CAMPAIGN MEDAL (Wit STAR). GLOBAL WAR ON TERRORISM <br />SERVICE MEDAL. SEA SERVICE DEPLOYMENT RIBBON (2). NATO <br />MEDAL-ISAF AFGHANISTAN. CERTIFICATE OF APPRECIATION <br />14. MILITARY EDUCATION (Course fitle, number of weeks. and month and <br />year completed) <br />AIR MOBILITY COMMAND (AMC) AFFILIATION M1716801. 8 WKS. <br />03/2014 <br />COMPUTERIZED AIRCRAFT LDP SYS (YI-18). 8 WKS. 10/2012 <br />MDSS II AIT MU (YH71. 8 WKS. 09/2012 <br />COMPUTERIZED AIRCRAFT LDP SYS (YH8). 8 WKS. 09/2011 <br />BASIC LOGISTICS EMBARKATION SPECIALIST (BLESC) (04H). 8 WKS. <br />SEE REMARKS <br />i Sa. COMMISSIONED THROUGH SERVICE ACADEMY YES x NO <br />COMMISSIONED THROUGH ROTC SCHOLARSHIP (10 USC Sec. 21076) YES x NO <br />ENLISTED UNDER LOAN REPAYMENT PROGRAM (10 USC Chap 109) (If yes. years of commitment: ) YES x NO <br />16. DAYS ACCRUED LEAVE <br />PAID 0 5 <br />17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE <br />DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION <br />YES NO <br />x <br />18. REMARKS <br />SERIAL #4079218 /EDIPI: 1402170 54. ITEM NO. 14 CONT. 08/2011. NON-CREDITABLE DELAYED ENTRY PROGRAM TIME 20110104 10 201)0213. <br />GOOD CONDUCT MEDAL PERIOD COMMENCES 20140214. MEMBER PARTICIPATED IN OPERATION ENDURING FREEDOM 131, AFGHANISTAN. <br />20130514-20131208. MEMBER PARTICIPATED IN OPERATION ENDURING FREEDOM 132, AFGHANISTAN, 20130701-20131208. SUBJECT TO <br />ACTIVE DUTY RECALL AND OR ANNUAL SCREENING. THIS IS NOT A FINAL DISCHARGE. WHILE A MEMBER OF THE MARINE CORPS <br />RESERVE, YOU WILL KEEP THE COMMANDER, MARINE FORCES RESERVE (TOLL FREE 1-800-255-5082) INFORMED OF ANY CHANGE OF <br />ADDRESS. MARITAL STATUS_ NUMBER OF DEPENDENTS. CIVILIAN EMPLOYMENT, OR PHYSICAL STANDARDS. MEMBER CONTRIBUTED <br />$1200.00 TOWARDS THE MGM. <br />The information contained here in is subject to computer matching within the Department of Defense or with any other affected Federal or non-Federal agency for verification <br />purposes and to determine eligibility for, and/or continued compliance with, the requirements of a Federal benefit program. <br />19a. MAILING ADDRESS AFTER SEPARATION (Include ZIP Code) <br />1042 WAWONA STREET, MANTECA CA 95337 <br />b. NEAREST RELATIVE (Name and address - include Zip Code) <br />LORANA QUACH (MOTHER), 1042 WAWONA ST, MANTECA CA 95337 <br />20. MEMBER REQUESTS COPY 6 BE SENT TO (Specify state/locality) CA OFFICE OF VETERANS AFFAIRS x YES NO <br />a. MEMBER REQUESTS COPY 3 BE SENT TO THE CENTRAL OFFICE OF TliE DEPARTMENT OF VETERANS AFFAIRS <br />(WASHINGTON, DC) <br />x YES NO <br />21a. MEMBER SIGNATURE b. DATE <br />(YYYYMMDD) <br />Zara-3504 <br />22a. OFF2rUTHO TO SIGN (T •:. e, grade nature) b. DATE <br />(YYYYMMDD) <br />20 I 50504• <br />- <br />-11/M.W. PRUNEDA, GS-I' SEP ONS OIC <br />SPECIAL ADDITIONAL INFORMATION (For use by authorized agencies only) <br />23. TYPE OF SEPARATION <br />RELEASED FROM ACTIVE DUTY <br />24. CHARACTER OF SERVICE (Include upgrades) <br />HONORABLE <br />25. SEPARATION AUTHORITY <br />MARCORSEPMAN 10(15 <br />26. SEPARATION CODE <br />MRK I <br />27. REENTRY CODE <br />RE-IA <br />NARRATIVE REASON FOR SEPARATION <br />COMPLETION OF REQUIRED ACTIVE SERVICE <br />DATES OF TIME LOST DURING THIS PERIOD (YYYYMACD) <br />NONE <br />MEMBER REQUESTS COPY 4 <br />(Inthals) <br />DD FORM 214, AUG 2009 <br /> PREVIOUS EDITION IS OBSOLETE. .adcbe Designer 3.0
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