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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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PR0526841
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COMPLIANCE INFO_2022
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Last modified
10/18/2022 2:03:45 PM
Creation date
8/23/2022 9:31:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0526841
PE
1623
FACILITY_ID
FA0018177
FACILITY_NAME
MX DONUTS
STREET_NUMBER
15126
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19611015
CURRENT_STATUS
01
SITE_LOCATION
15126 HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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46 Premier Food Safety www.123PremierFoodSafety.com <br /> Protecting people's lives for over 35 years (800) 676-3121 <br /> Certificate of Completion <br /> This certificate recognizes that <br /> Vicheka Norng <br /> has successfully completed and passed the <br /> California Food Handler Training <br /> Certificate Program <br /> . r r <br /> ASTM E2659 <br /> Certificate Issuer <br /> #1021 Donald Yoo(CEO) <br /> Issue Date:09/15/21 Verification Code:2021-DCMDXK <br /> Expiration Date:09/14/24 <br /> This course successfully meets the requirements for the Califomia Food Handler Card. <br /> www.123PremierFoodSafety.com <br /> ......................................................................................................................................._.....................................................-......_.-........................................................._......................................................__.................. <br /> Premier Food Safety <br /> Pmiecung peoples lives br over 55 years <br /> California Food Handler Card <br /> Vicheka Norng <br /> Issue Date:09/15/21 <br /> Expiration Date:09/14/24 Verification Code:2021-DCMDXK <br /> Pv w 123PremlerFoodsarety.com (888)6763121 <br /> :................................................................................................................................................... <br /> Vicheka Norng <br /> None <br /> 15126 S Harlan Rd <br /> Lathrop, CA 95330 <br /> www.123PremierFoodSafety.com <br /> (800) 676-3121 <br /> S <br />
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