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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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L <br />X, <br />00616 <br />F . 6 . rd ni'Drive, Sul(e120, 01 r1an a6l 3282 1 . <br />446'M . <br />�41 Regisiry o�t � afe ty,� Fkof <br />Notification of Test Results <br />rD#: xxx-xx- <br />Scaled Test Score: 94 <br />Candidate Status: Pass <br />Test Date: July 25, 2019 <br />IMZ- <br />o <br />"V <br />PIT ITIO M V-11 <br />11 <br />NATIONAL REGISTIRY OF <br />FOOD SAFETY OFESSIONALSO <br />e - N171;�t I" <br />CE:MnV�Ze4j: <br />HOLLY M <br />HAS SUCCE $FULLY SATISFIEDYHE REooj"ENTS FOR THE <br />FooD SAFETY GER <br />UNDER THEI <br />CONFERI�Ncrz. FoR FoOD PROTECTION STANDARDS <br />PRIE40`48 <br />I'll' 01,,iii <br />FLAWRENCE J. LYNCH, CAE <br />11 <br />ISSUE DATE: JULY 25, 20 19 <br />ExpmxriON DATE; JULY 25, 2024 <br />CE1i*nF1CATE NO: 2 1 6078S8 <br />I TEST Fo'Rm: EXES I <br />Congratuladon3l Attachcd i -t your certificate and wa1let card, Please notify HOLLY M A <br />the NaUonal Rc&try of name or address changes at the address below. 1801 W I IT17, <br />TRACY.CA <br />Preventing Contamination and Cross Conteminallon (Compoteno <br />Ensuring Porsonal Hygiene and Employee Hoafth (Mastorod) <br />Acilvely Managing Controls In a Food F-stablishmont (Mastered) <br />M-1toring the Flow of Foods (Compoteno I <br />Ing Product Tima and Temporaturo (Mostorod) <br />),octlnq Cleaning and Sanitlzlng (Mastered) , <br />iaging-PhySIcal Facility DesIgn & MaIntenanco:Proventing & Controlling Posts (Mnstemd) <br />National Rcgistry of Food Safety Prol5cisionak4b 1 6751 Forum Drive Ste 220 1 Orlando, FL 32821 <br />ral. ..d&=I h aw —W (6, VOM <br />Lhzn A" ymii ftm &I. f W-, <br />IG <br />4:4 <br />National Reglstry of Food Safety Profemlor <br />CERTIFIED FOOD SAXETY XkNAGE <br />v®rlol <br />V� <br />g <br />;ro r <br />L <br />5. <br />4�17 �'C <br />, <br />Expiradon DWA: July Z. 2024 <br />TON <br />.3S2.3830 I Pnx: 407.352.3603 <br />9/1 d << �S62OE9602 009E Aema�eS ZE:ZL SL -90-0202 <br />
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