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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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1801
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1600 - Food Program
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PR0518813
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:19:30 AM
Creation date
12/7/2018 3:24:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0518813
PE
1619
FACILITY_ID
FA0022704
FACILITY_NAME
SAFEWAY #2600
STREET_NUMBER
1801
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23217024
CURRENT_STATUS
01
SITE_LOCATION
1801 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\1801\PR0518813\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
7/16/2015 9:31:36 PM
QuestysRecordID
2803554
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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,:,, ".1;;" •'• <br />i � �J -;fin <br />! <br />the National Registry of name or address changes at the address below. <br />! <br />3716 CARV <br />MODESTO, <br />N0656 ! <br />51:Forum Drive, Sulte'220, Orlando, FL 32821 <br />6' 860)' 446-0257 P (407)' 52-3603 www.NRFSP,com r <br />atlbnai'Reglatry of Food Safety P.io(esslonala': <br />I <br />! <br />Notification of Test Result <br />ID#: xxx-xx- <br />Scaled Test Score: 83 <br />Candidate Status: Pass <br />Test Date: April 13, 2018 <br />NATIONAL REG <br />FOOD SAFFF.TY PROF <br />VIVIAN AB <br />HAS SUCCESSFULLY SATISFIED THE <br />FOOD SAFETY <br />UNDER THE <br />CONFERENCE F'OR FOOD PROTI <br />4' <br />tl?SIDENT: _ <br />•F� I'f fee",;: <br />L9- a <br />J. LYNCH, CAE <br />ISSUE DATE: APRa- t 3, 2018 <br />EXPIRAT16N DATE: APRIL 13, 2023 <br />CERTIFicATIE NO: 21453049 <br />TEs,r FORM. EXE71 <br />Thl, mill1com h one void for Fnoeo <br />(hon five yenn Atom dr,le Ohm, <br />I <br />Congratulations Artached is your certificate and wallet card. Please notify <br />VIVIAN AB <br />! <br />the National Registry of name or address changes at the address below. <br />! <br />3716 CARV <br />MODESTO, <br />Preventing Contamination and Cross Contaminatlon (Mastered) <br />Ensuring Personal Hygiene and Employee Health (Competent) <br />Actively Managing Controls In a Food Establishment (Competent) <br />Monitoring the Flow of Foods (Competent) I <br />I <br />---isuring Product Time and Temperature (Needs review) <br />()ducting Cleaning and Sanitizing (Competent) <br />�Managing:Physical Facllity Design & Malntenance: Preventing & Controlling Pests (Competent) <br />National Registry of Food Safety Professionalso 1 6751 Forum Drive Ste 220 1 Orlando, rL 32821 <br />8/8 d <br /><< �5620£8602 0092 AeMa�eS <br />National Registry of Food Safcty Professional <br />CERTIFIED FOOD SAFETY MANAGER <br />VIVIANABDMAHAD, •: <br />Cat ieculc No! 21453049 <br />•• • , '•';,;iJlu(iic.DatotApfil';13; 2014 <br />Expliotlon Dalo: April 13, 2023 <br />RD <br />95356 <br />2 kol, O <br />407.352.3830 1 Fax: 407.352.3603 <br />WLL SL -90-0202 <br />
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