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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HARLAN
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15124
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1600 - Food Program
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PR0534943
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COMPLIANCE INFO
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Entry Properties
Last modified
4/1/2022 3:47:08 PM
Creation date
8/21/2019 3:35:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0534943
PE
1624
FACILITY_ID
FA0020204
FACILITY_NAME
ROUND TABLE PIZZA
STREET_NUMBER
15124
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19611005
CURRENT_STATUS
01
SITE_LOCATION
15124 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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ServSafe <br /> National Restaurant Association <br /> ImaAServSa e° <br /> CERTIFICATION <br /> MICHELLE RONCHETTI <br /> for successfully completing the standards set forth for the ServSafe®Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute(ANSI)-Conference for Food Protedion(CFP). <br /> 490512 5291 <br /> UMBER EXAM FORM NUMBER <br /> 8/15 8/15/2022 s <br /> DATE OF E 'AMINATION DATE OF EXPIRATI <br /> Local lays apply.Check with your local regula ency For recertification requirements. <br /> 1 5 \ Z ' <br /> Sherman wnro �1 <br /> SVP, National Restaurant Association Solutions <br /> o ,o <br /> #0655 2020 <br /> Y <br /> to ordan.e with MirEooe tal»vt Cumenfim 2006,Rudulion ADM N 068-2013(R"ul im 3.2,Sbndard A3.2) , Q <br /> :nois Nar�onol Reswurod Aaoevfimn Fdxdieml Fmndafion(NRAEn.Au dgMs .a.sarsd.W aid i6e s<rvsnfe inn n,e o-n<len,.nrk,nrme Nw,EF_ $ S `—1 et 1`'1 j <br /> Nm��nd Rewumd Au«idwH and d..oR deign o..rladsmokr d 6e Nanmd Rotw�ok Aumielim. <br /> This document mnnd 6e reproduwd or Ica M. <br /> 14102901 v.1401 Cm ui V Ah pefmsd 175 W lodooa Md.5%1500,Chicago,L 60604 m Sw Sdaeretlowml.a0. <br /> S <br />
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