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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HENRY LONG
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2121
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1600 - Food Program
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PR0521810
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COMPLIANCE INFO
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Last modified
9/24/2020 5:08:09 PM
Creation date
3/15/2019 9:04:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0521810
PE
1632
FACILITY_ID
FA0014810
FACILITY_NAME
MUSD-GEORGE Y KOMURE ELEMENTARY
STREET_NUMBER
2121
STREET_NAME
HENRY LONG
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16603022
CURRENT_STATUS
01
SITE_LOCATION
2121 HENRY LONG BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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Weston Ranch High School <br /> George Komure Elementary <br /> _ _ RECEIVED <br /> National Restaurant Association <br /> OCT 3 1 2019 <br /> ® <br /> ENVIRONMENTAL HEALTH <br /> erv PERMIT/SERVICES <br /> sn <br /> n,• �� <br /> r <br /> CERTIFICATION <br /> MARGARITA BARRON <br /> for successfully completing the standards set forth for the ServSafeo Food Protection Mqnager Certification Examination, <br /> which is accredited by the American National Standards Institute(ANSI)-Conference for Food Protection,(CFP). - <br /> :�;n 5453 <br /> ir 'l�'9f�R ER EXAM FORM NUMBER <br /> 10/11/201 10/11/2024 <br /> DATE OF EX DATE OF EXPIRATION <br /> Local laws apply.Che cyfor recertification requirements. <br /> o <br /> s <br /> -2' e <br /> Sher <br /> #0655 cjation Solutions <br /> F <br /> Man <br /> In accordance wi <br /> I e$ervSafe logo are trademarks of the NRAEF.National Restaurant AssocialionO and the arc design <br /> Conloct us with questions at 233 S.Wacker Drive,Suite 3600,CWcogo,IL 60606-6383 or ServSaWretourant.org, <br /> r <br />
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