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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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552
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1600 - Food Program
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PR0160846
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COMPLIANCE INFO
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Entry Properties
Last modified
10/19/2023 2:08:42 PM
Creation date
12/7/2018 9:28:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160846
PE
1626
FACILITY_ID
FA0002158
FACILITY_NAME
INDOOR ADVENTURES
STREET_NUMBER
552
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
08126040
CURRENT_STATUS
01
SITE_LOCATION
552 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\552\PR0160846\COMPLIANCE PRE 2016.PDF
QuestysFileName
COMPLIANCE PRE 2016
QuestysRecordDate
2/9/2017 10:29:05 PM
QuestysRecordID
3335192
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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EXAM FORM NO. 4831 <br /> a <br /> CERTIFICATE NO. 10138422 <br /> ServSafe <br /> ServSafe <br /> CERTIFICATION <br /> I <br /> MAGGIE LEWIS <br /> afe"Food Protection Manager Certification Examination, <br /> for successfully completing the standares set forth for the SeipS g <br /> which is accredited by the American National Standards lhaftte(ANSI)-Conference for Food Protection(CFP). <br /> 0 <br /> ouz C; <br /> DATE 0 -('�` <br /> Provided by: <br /> PremlerFood5afety 06/12/2 <br /> o <br /> 1-800-676-3121 DATE OF EX 7I N <br /> www.PremierFocdSafety.com Local <br /> laws apply.Ch or recertification requirements. <br /> I <br /> ® ant Association <br /> #0655 <br /> (2012 Naeom l mark of the NMEF.used under license by Natloaal Nmburant Msmlasion Selutom,LLC. <br /> Thelogo <br /> 1 <br />
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