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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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UNION
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1600 - Food Program
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PR0547970
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/19/2022 1:42:34 PM
Creation date
10/19/2022 1:40:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547970
PE
1633
FACILITY_ID
FA0027349
FACILITY_NAME
KONA ICE OF NW STOCKTON #08865M3
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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,7t 11 <br /> ServSafe <br /> National Restaurant Association <br /> S e rvS a f e° <br /> CERTIFICATION = <br /> BERNADETTE PUA <br /> for successfully completing the standards set forth for the ServSafea Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute(ANSI)-Conference for Food Protection (CFP). <br /> 10788 <br /> BER EXAM FORM NUMBER <br /> 10/29/202 10/29/2027 <br /> DATE OF EX IN TION DATE OF EXPIRATION <br /> Intal laws apply.Ch lh your local requ' cy for recertification requirements. <br /> i <br /> #0655 <br /> She n <br /> gb5 M3 <br /> `-e President, Nafiona� Restaur I cation Solutions <br /> R) <br /> P2 � stiG0 ° °: <br /> 0 <br /> ,&1 <br /> wit `non 2006,R.1 6m ADM N 0682013(. L� I� S <br /> Reuuva31 ..5cdim Edcoumal Fwrdofion INRAEf1..Nl righty VS.S!66pp.tadenvks J M NtAEF.NA.,A ReNouran Auoca bn*and tln nc design <br /> of AK Naionol Reslmrmn,Aa¢d!- <br /> cannot 1.Wr.&ced walkrd, v,1711 Calm.v A que r..01233 S.Wachs Diose,We 3600,admgq IL 60606-6383 or ServSok@resiouranLwg. �/ <br /> l <br />
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