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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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PR0547977
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/8/2022 9:00:21 AM
Creation date
11/1/2022 1:54:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547977
PE
1681
FACILITY_ID
FA0027357
FACILITY_NAME
KREATIVELY KISHA LLC
STREET_NUMBER
259
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
259 S GUILD AVE
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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ServSafe <br /> ciat <br /> National Restaurant Asso ion <br /> ServSafe° <br /> CERTIFICATION <br /> LAKISHA MARTIN <br /> for successfully completing the standards set forth for the ServSafe'Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute(ANSI)—Conference for Food Protection(CFP). <br /> 10788 <br /> ER EXAM FORM NUMBER <br /> 8/18/2022 8/18/2027 <br /> DATE OF EX ATION DATE OF EXPIRATION <br /> Local laws apply.Ch your local r cy For recertification requirements. <br /> #0655 -e President, National Restau ciation Solutions �.• p. <br /> r <br /> O. <br /> In mw rce w uAw ADM No <br /> wi INRMFI A. Ser,S h b,ore H.6..6.f tM NP.AFF.Norimd Pmb..t A.,WwA axd rk ort design <br /> tM Naliard Neslmxnnl Aswriolinn. <br /> ranwr be repradu dor oilmr d. ). <br /> -!" v.1771 Conbct us vnrF gxilions al 233 S.Woclmr Ddre,Suib 7600,Giwgo,IL 606066383 w SmBde@ Wmnrory. <br />
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