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EHD Program Facility Records by Street Name
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NAGLEE
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1600 - Food Program
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PR0505984
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Entry Properties
Last modified
1/24/2024 11:25:14 AM
Creation date
9/13/2023 11:27:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0505984
PE
1626
FACILITY_ID
FA0007125
FACILITY_NAME
GOHAN BUFFET
STREET_NUMBER
3200
Direction
N
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21205052
CURRENT_STATUS
01
SITE_LOCATION
3200 N NAGLEE RD STE 600
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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-SG$- LISTING REPORT/INSPECTION PROCEDURE <br /> Botin Innovation Inc. Page 13 of 22 <br /> PROJECT NUMBER: GZ-CERT220902472 Issued:28 Jan.2023 <br /> Revised: None <br /> Photo Item Component Manufacturer/ Type/model Technical data Mark(s)of <br /> No. No. name trademark conformity <br /> DuPont Specialty DelrinO FG 150 <br /> Products USA, NSF/ANSI 51 Listed. NSF <br /> 4 17.3 <br /> Plastic Roller LLC NC010[1] <br /> FZ, FC <br /> ( ) Celanese HOSTAFORMO <br /> International C 9021[2] NSF/ANSI 51 Listed. NSF <br /> Corporation <br /> Powder outlet Kingfa Sci.& <br /> 4 17.4 Pipe(FZ, FC) Tech.Co., Ltd. PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> Plastic Part Kingfa Sci.& <br /> 5 18 Under Metal Tech. Co., Ltd. PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> Box(FZ, NFC) <br /> POSCO <br /> 6 19 Liquid Box (Zhangjiagang) Stainless steel SUS Grade 304. NR <br /> Zone(FZ, NFC) Stainless Steel <br /> Co.,Ltd. <br /> Liquid Box Shenzhen Composed the following <br /> 6 20 Assembly BOTINKIT Co., Various NR <br /> (FZ, FC) Ltd. item 17.1-17.4 <br /> 6 20.1 Liquid Box and Kingfa Sci.& PP-35071 NSF/ANSI 51 Listed. NSF <br /> Lid(FZ, FC) Tech. Co., Ltd. SFP9W-G1063 <br /> Silicone Tube in Xiamen Maifeng <br /> 6 20'2 Box(FZ, FC) Seal Products SIL4088F NSF/ANSI 51 Listed. NSF <br /> Co.,Ltd. <br /> Plastic <br /> 6 20.3 Connector Kingfa Sci.& PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) Tech.Co., Ltd. <br /> 6 20.4 Suction Nozzle CDC Pneumatics HCVU 3/8-3/8 NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) Co. <br /> Hinge for liquid <br /> 6 21 Bin Door Various Stainless steel SUS Grade 304. NR <br /> (FZ, NFC) <br /> Fixed Kingfa Sci.& <br /> 7 22 Connector(FZ, Tech. Co., Ltd. PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> FC) <br /> Water Starch Shenzhen Composed the following <br /> 7 23 Box Assembly BOTINKIT Co., Various item 23.1-23.5 NR <br /> (FZ, FC) Ltd. <br /> Plastic <br /> 8 23.1 Connector Kingfa Sci.& PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) Tech. Co., Ltd. <br /> 8 23.2 Water Starch Kingfa Sci.& PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> Box Tech.Co., Ltd. <br /> This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at <br /> www.sas.comRerrns and conditions.htm and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at <br /> www.sos.com/terms e-document.htm. Attention is drawn to the limitation of liability,indemnification and jurisdiction issues defined therein. Any holder <br /> of this document is advised that information contained hereon reflects the Company's findings at the time of its intervention only and within the limits of <br /> Client's instructions,if any. The Company's sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising <br /> all their rights and obligations under the transaction documents. This document cannot be reproduced except in full,without prior written approval of the <br /> Company. Any unauthorized alteration,forgery or falsification of the content or appearance of this document is unlawful and offenders maybe prosecuted <br /> to the fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s)tested and such sample(s)are <br /> retained for 90 days only. <br /> STR NSF-01 Rev 1.0 Issue 2017-6-1 <br />
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