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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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S
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SACRAMENTO
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302
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1600 - Food Program
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PR0548291
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
3/22/2023 2:42:58 PM
Creation date
3/15/2023 11:47:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548291
PE
1626
FACILITY_ID
FA0027563
FACILITY_NAME
LODI BOWLING
STREET_NUMBER
302
Direction
N
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
302 N SACRAMENTO ST
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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ServS <br /> National Restaurant <br /> ServSaf6' <br /> CERTIFICATION <br /> JULIO CAMBEROS <br /> for successfully completing the standards set 64 for Are ServSofe'Food Protection Manager Certification Examination, <br /> which is accredited by the American National Standards Institute(ANSI){onference for Food Protection(CFP). <br /> 5587 <br /> ER EXAM FORM NUMBER <br /> 12/2/2022 12/2/2027 <br /> DATE OF EX IO DATE OF EXPIRATION <br /> Lord lows apply.Ch r lord`regal far recertilicatiw requirements. <br /> Sher <br /> N0655 m.Notional R cialian Solutions <br /> In fI MB XII]I. <br /> •.vwso.Wf�7'I nu nJ^I.. s,vSd.bBe menmYricrbdtre t.eAEf.Nmimd xmluwrnuocmio�mdiaabcg <br /> 1I.i.deuwn..o„i.n ba rry.d.d .rAi.ud •. <br /> 1711W I r,1711 CmmuwiA gmrumm]3IS.WxW LRie,SiM]%U,Qom,IL Mb'Jb 6383 orSwSaleeiewrmrerp. <br />
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