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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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KETTLEMAN
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1040
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1600 - Food Program
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PR0546661
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/30/2023 1:43:54 PM
Creation date
11/30/2023 1:43:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0546661
PE
1608
FACILITY_ID
FA0026483
FACILITY_NAME
BELOVED BARB BAKES
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
1040 W KETTLEMAN LN #306
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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May 24, 2022 12ba2j-j5hic7f <br />Certificate Verification Number <br />Verify at www.statefoodsafety.com/Verify <br />Issue Date (valid for 3 years) <br />Bryan Chapman, CCFS, CP-FS <br />CEO, StateFoodSafety <br />711 Timpanogos Pkwy; Orem, UT <br />This program prepares the learner <br />to be a responsible food handler. <br />ASTM 62659 <br />CERTIFICATE ISSUER <br />#1020 <br />Scan with a smart device to verify. <br />State Food Safety <br />Food Safety Training & Certification <br />Certificate of Training <br />Awarded to <br />Barbara Collins <br />For successfully completing the <br />California Food Handlers Course <br />Scan with a smart device to verify. Scan with a smart device to verify. <br />A;a4espoojalels Aci paiamod 0201# <br />8311SSI 31YJIII1H33 <br />65923 VilSV <br /> <br />kialespoodalels '03) <br />Si-c1) `uetudeto ueke <br /> <br />(aiespooplels q paramod 0601# <br />U3115513.1.231A11133 <br />66923141W <br /> <br />fuajespoodelelS '03) <br />Sd -dD 'uewdeqj ueiCie <br /> <br />v <br />sjeaA (E) aaiql Jo; Nen s! pJeD s!qi <br />.as.moD sfalpueH pood e!womeD n palaidwoD <br />Ali nIssanns seq pueD sJaipueH pooj SIL Jo faploq VLjJ <br />California Food Handlers Card <br />Issued to. Barbara Collins <br />Completion Date: May 24, 2022 <br />Valid for 3 years <br />Verification:12ba2j-j5hic7f <br />Verify card at www.statefoodsafety.com/Verify <br />State Food Safety <br />Your copy/Su copia <br />-siea4 (E) @alto Jo] pi ens! pep s!qi <br />.asJnoj sJaipueH pood eiwomeDaq palaidwoo <br />Al1niss13D3ns seq pJej sialpueH pooj Jo Japioq aqi <br />California Food Handlers Card <br />Issued to: Barbara Collins <br />Completion Date: May 24, 2022 <br />Valid for 3 years <br />Verification• 12ba2j-j5hic7f <br />Verify card at www.statefoodsatety.comNerify <br />State FoodSafety <br />Manager Copy/Copia del gerente <br /> <br />N70
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