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COMPLIANCE INFO_2013-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0538015
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COMPLIANCE INFO_2013-2019
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Last modified
5/14/2021 8:19:16 AM
Creation date
12/7/2018 9:22:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2019
RECORD_ID
PR0538015
PE
1608
FACILITY_ID
FA0021951
FACILITY_NAME
BUFFALO BAKING CO
STREET_NUMBER
4543
Direction
E
STREET_NAME
BALSAM
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08656030
CURRENT_STATUS
01
SITE_LOCATION
4543 E BALSAM DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\B\BALSAM\4535\PR0538015\COMPLIANCE.PDF
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EHD - Public
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September 9, 2013 Lab ID : STK1338375 <br /> Patti Lynn Drake Customer : 3-17297 <br /> Certification:: I certify that this data package is in compliance with NELAC standards, both <br /> technically and for completeness, except for any conditions listed above. Release of the data contained <br /> in this data package is authorized by the Laboratory Director or his designee, as verified by the <br /> following electronic signature. <br /> KD:DMB <br /> oo..� <br /> Approved By Keay A.Dunnahoo,B.S. <br /> . r�u,ueo.,rv�. <br /> o...oi.ev.os <br /> Pagc 2 of 4 <br />
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