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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 14 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 /> Silicone Tube in Xiamen Maifeng <br /> 8 23.3 Box(FZ, FC) Seal Products SIL4088F NSF/ANSI 51 Listed. NSF <br /> Co.,Ltd. <br /> 8 23.4 Bottom Plastic Kingfa Sci.& PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> Grille, FZ Tech.Co., Ltd. <br /> 8 23.5 Stirring Rod, FZ Kingfa Sci.& PP-35071 SF NSF/ANSI 51 Listed. NSF <br /> Tech.Co., Ltd. <br /> NANYANG <br /> Peristaltic DINGHAO Composed the following <br /> 9 24 Pump(FZ, FC) ELECTRONIC DHE-7901 item 24.1-24.2 NR <br /> TECHNOLOGY <br /> CO., LTD. <br /> PP material Kingfa Sci.& GFPP-30 <br /> 9 24.1 (not shown) Tech. Co., Ltd. SKFP0102 NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) <br /> Seals of pump Celanese SANTOPRENE'r^ <br /> 9 24.2 (not shown) International 8271-55TPV NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) Corporation <br /> Silicone Tube Xiamen Maifeng <br /> 9 25 (FZ, FC) Seal Products SIL4088F NSF/ANSI 51 Listed. NSF <br /> Co.,Ltd. <br /> SHENZHEN <br /> 9 26 Diaphragm SIMPUMP S370D9-LP Composed the following NR <br /> Pump,(FZ, FC) TECHNOLOGY item 26.1-26.2 <br /> CO.,LTD <br /> Guangzhou <br /> Seals of pump Kwong Fai <br /> 9 26.1 (not shown) Rubber Plastic& EPDM0001 NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) Metal Products <br /> Ltd. <br /> BS material Chi Mei POLYLAC®PA- <br /> 9 26.2 (not shown) Corporation 757F NSF/ANSI 51 Listed. NSF <br /> (FZ,FC) <br /> NSF/ANSI 51 Listed. <br /> 9 27 Tube Fitting Various Various Refer to the fitting list table NSF <br /> (FZ, FC) for detail <br /> Electric Valve 1 R Series <br /> 9 28 (FZ, FC) R.P.E.srl Dispenser NSF/ANSI 51 Listed. NSF <br /> 237(1)(2)(3)[13] <br /> 9 29 Electric Valve 2 R.P.E. srl R Series Mini NSF/ANSI 51 Listed. NSF <br /> (FZ, FC) -(1)6(2)(3)(4) <br /> Shenzhen <br /> 9 30 <br /> Water Tank gOTINKIT Co., Various Composed the following NSF <br /> (FZ, FC) Ltd. item 30.1-30.4. <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 sgs com/terms and conditions.htm and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at <br /> www.sgs.comfterrns 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 /> STIR NSF-01 Rev 1.0 Issue 2017-6-1 <br />
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