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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544527
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
9/10/2020 4:52:15 PM
Creation date
9/10/2020 4:48:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0544527
PE
1609
FACILITY_ID
FA0025313
FACILITY_NAME
FOX FARMS
STREET_NUMBER
131
Direction
S
STREET_NAME
CORINTH
STREET_TYPE
AVE
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
131 S CORINTH AVE
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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May 6, 2020 Lab ID : STK2035535 <br /> Laura Boyce Customer : 3-18303 <br /> Certification:: I certify that this data package is in compliance with ELA-P standards,both technically <br /> and for completeness, except for any conditions listed above. Release of the data contained in this data <br /> package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br /> signature. <br /> KD:DMB <br /> n®� mK,1 A�?o.es. -l -- <br /> Approved By Kelly A.Dunnahoo,B.S. ® *� � � <br /> TWa3095� <br /> Page 2 of 5 <br />
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