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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PELTIER
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1991
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1600 - Food Program
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PR0538083
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COMPLIANCE INFO_2021
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Last modified
12/16/2021 2:59:14 PM
Creation date
12/16/2021 2:58:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538083
PE
1608
FACILITY_ID
FA0021998
FACILITY_NAME
KIM DUKES OLD VINE BAKESHOP
STREET_NUMBER
1991
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00318010
CURRENT_STATUS
01
SITE_LOCATION
1991 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CERTIFIED PROFESSIONAL FOOD MANAGER. <br />Designation Has Been Conferred Upon <br />Provided by: <br />PremierFoodSafety. <br />NICOLE RENAE DUKE -800.676-3121 <br />www.PremierFoodSafety.com <br />Who has met all the <br />professional requirements for certification in <br />food service safety and sanitation. of t <br />#0659 <br />Exam 2221 Recognized By Conference For Food Protection <br />M, f ' ' 1./-4A/ ' 7 <br />I Ryan McMlllion, Client Services Manager <br />Prometric 1 7941 CoMarate Deve, Nottingham, MD 21236 1 800.624.2736 <br />Certificate No: 1967716 <br />Exam Date: 08/25/17 <br />Test Code: 6203042221 <br />Expires on: 08/25/22 <br />
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