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COMPLIANCE INFO_2022
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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PR0161531
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COMPLIANCE INFO_2022
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Last modified
10/5/2022 3:35:15 PM
Creation date
3/28/2022 11:49:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161531
PE
1632
FACILITY_ID
FA0003207
FACILITY_NAME
JEFFERSON ESD-JEFFERSON SCHOOL
STREET_NUMBER
7500
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25332018
CURRENT_STATUS
01
SITE_LOCATION
7500 LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ServSafe <br /> National Restaurant Assoclatior <br /> S e rvS a e° <br /> W1110A CERTIFICATION <br /> CYNTHIA NELSON <br /> for successfully completing the standards set forth for the Ser Sofe Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute (ANSI)—Conference for Food Protection (CFP). <br /> 5534 <br /> ER EXAM FORM NUMBER <br /> 4/6/2022 4/6/2027 <br /> DATE OF EX ATIO DATE OF EXPIRATION <br /> Local laws apply.Ch your local regal. For recertification requirements. <br /> I '�� Ib1531 <br /> iJ 1Soo L.nne <br /> Sher <br /> #0655 ;e President, Notional Restou ciation Solutions .p. ;p <br /> o . . . <br /> In accordance wit lion 20D6,Resdow ARM N 068+20 <br /> n Edemlio«I F.,,6.INRAFfI.AI S.,Sde Ioeo ore Irodeniorks.1 the NRAEF.Naliand Rest .I Ass«blio0 and the«c design <br /> of BK NNipwl Reaaumnl Ass«imian. <br /> nl onnno 6e.wn,d.aed or dtln d. <br /> t'1 v.1711 Cwxm us wish quasfi«a x1233 5.Wacker Ori.e,$aik 36W,CAi<ago,IL 606066389 w ServSale�'esbumnlag. <br /> S <br />
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