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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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GRANT LINE
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2375
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1600 - Food Program
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PR0163122
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/24/2023 3:37:43 PM
Creation date
5/25/2023 9:15:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0163122
PE
1615
FACILITY_ID
FA0003076
FACILITY_NAME
GRANT LINE SHELL
STREET_NUMBER
2375
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21402017
CURRENT_STATUS
01
SITE_LOCATION
2375 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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ALLRED! ft 0 PROGRAM <br />Lama* Whams Stordelk 1,666.6 <br />6.61 Oaddmaa fer Fowl P66.166 <br />6751 Forum Drive, Suite 220, Orlando, FL 32821 <br />P (800) 446-0257 (407) 352-3603 www.NRFSP.com <br />National Registry of Food Safety Professionals' <br />Notification of Test Results <br />ID#: xxx-xx- <br />Sealed Test Score: 87 <br />Candidate Status: Pass <br />Test Date: July 5. 2023 <br />PRESIDENT: <br />LAWRENCE J. LYNCH, CAE <br />NATIONAL REGISTRY OF <br />FOOD SAFETY PROFESSIONALS® <br />CERTIFIES <br />KOMAL BHARDWAJ <br />HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE <br />FOOD SAFETY MANAGER <br />UNDER THE <br />CONFERENCE FOR FOOD PROTECTION STANDARDS <br />ISSUE DATE: JULY 5, 2023 <br />EXPIRATION DATE: JULY 5, 2028 <br />CERTIFICATE No: 21964825 <br />TEST FORM: 0XE35 <br />his certificate is not valid for more <br />than five years from date of issue <br />National Registry of Food Safety Professionals <br />CERTIFIED FOOD SAFETY MANAGER <br />KON1AL BHARDWAJ <br />673l Forum this. <br />&Mr 229 <br />Orlando. FL 111:: I <br /> <br />Toll Free 11001 416-0237 <br />none (4071 )52-3110 <br />Fos Orr) 352-34,01 <br />anow.NRESP rum <br />Certificate No: 21964825 <br />Issue Date: July 5.2023 <br />Expiration Date; July 5.2028 <br />Congratulations! Attached is your certificate and wallet card. Please notify <br />the National Registry of name or address changes at the address below. <br />Ensuring Personal Hygiene (Mastered) <br />Managing Food Holding Time and Temperatures (Competent) <br />Preventing Contamination. Cross-Contamination, and Cross-Contact (Mastered) <br />Managing Cooking Times and Temperatures (Mastered) <br />Monitoring the Flow of Foods (Competent) <br />Actively Managing Controls in a Food Establishment (Needs review) <br />Managing the Physical Food Establishment/Equipment Design and Maintenance (Mastered) <br />Managing Cleaning and Sanitizing Activities (Needs review) <br />KON1AL 131-1ARDWA.1 <br />2140 TAMM1 CT <br />TRACY, CA 95377 <br />QQ:;01\c,S\22_ <br />r-c-c 4c <br />Fax 407.352.3603 National Registry of Food Safety Professionalst I 6751 Forum Drive Ste 220 1 Orlando, FL 32821 Phone: 407.352.3830
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