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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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PR0546547
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
6/9/2022 4:00:40 PM
Creation date
5/19/2022 1:51:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0546547
PE
1635
FACILITY_ID
FA0026396
FACILITY_NAME
MISSOURI'S BBQ #4E38236
STREET_NUMBER
620
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S CALIFORNIA ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ServSafe 0 <br />CERTIFICATION <br />Food Protection Manager Certification Examination, <br />ANSIf Conference for Food Protection (CFP). <br />DALE BATYE <br />for successfully completing the standards set forth for the <br />which is accredited by the American National Standar: <br />IFICATE N'"*UER <br />3/25/2021 <br />DATE • ON <br />Local (aws apply. Ch. <br />�ANSI� <br />•....04;4j <br />A:GREDITEO PRODRnbI <br />AnglgnllatlmulSbnOarde l,gDMe � � <br />uM Urt:onle,rnce im coon Noltttbn � <br />5515 <br />FORM NUMBER <br />3/25/2026 <br />DATE OF EXPIRATION <br />for recertification requirements. <br />#0655 � afire Vice President, Nationol Restaurant A iation Solutions <br />176y� O <br />7006. "- AaM N I- <br />1ds.esA.oaliv,FdmndrnndavV :i H4:.n-.wd S., Sft Sde69.u.w.6,v6ddv NRAB. Wnd Rntanvd Au.0,09 nd In nc dm, <br />,....bo6 d M Wind ba.v. Ado.00, <br />Tlw 4.1. m.n t:,ped.d n ded <br />111 I0,6 11 1 Wood m.;l, gredi.eaf i]3 S. Wadm 0.i.e, S.ik 4600. a,imgo, R 60606d0e� a Sn.SdeBrek,.,,me.ag. <br />
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