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HomeMy WebLinkAboutCertifications . EXAM FORM NO. 4517 fillii.illServeire CERTIFICATE NO. 6983746 Seri/Safe Certification . . . , . . . ., . , . , . ,. s . _ . . . , ,,,,,. , . . for successfully completing the standards set forth for the ServSafe. Food Protection Manager Certification Examination, which is accredited by the American National Standards Institute (ANSI)-Conference for Food Protection (CFP). 3/19/2010 DATE. OF EXAMINATION 3/19/2015 DATE OF EXPIRATION Local laws apply. Check with your local regulatory agency for recertification requirements. 1-1. ,ANS/ ' ±±zl /*N.,I giA NATIONALA? -. f ' `: ; i :ii-); R:4''," RESTAURANT1 3� :, ,r, , r, �� , F�c " P►t�+t (i,�t ® David Gilbert , 1 „,i ,r. ,, , ,,, ASSOCIATION® Chief Operating Officer, National Restaurant Association #0655 Executive Director, National Restaurant Association Solutions (D2009 National Restaurant Association Educational Foundation.AN rights reserved.ServSafe and the ServSafe logo are registered trademarks of the National Restaurant Association Educational Foundation, and used under license by National Restaurant Association Solutions,U.C,a wholly owned subsidiary of the National Restaurant Association. This document cannot be reproduced or altered. 06121102 v.1002 {l wite% -,,,v4_,,../: , ,., ,..1„,,,...v 1 NATIONAL REGISTRY OF 4 ' FOOD SAFETY PROFESSIONALS® . 04)4 , F k r 4$ - .44:41„ ... R , 4 CERTIFIES ryr .Y_• w.yQ . . . , REBECCA A WHITE ',4 ;sig.; •,e f ' ' yy'� Y }S * &' HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE C,E. ' { k = _ d;; - FOOD SAFETY MANAGER ,T4 71 • R+d fi IY• • UNDER THE w ` ` `'it. : • _ ' � `▪ . ..'.,P., <i �j � R CONFERENCE FOR FOOD PROTECTION STANDARDS Y 3 a 4 • t SQLT1.f• 4 T_ if- i • . Y + (- t".. {t : 't.li fid.. fi , 4. _ 4+ 40.01,„ 4 • ,,4,- -. , }' fr7; PRESIDENT: , * mac ANSI ': • s rp M:` LAWRENCE J. LYNCH, CAE r ISSUE DATE: JUNE 16, 2014 #065b f' fie'. EXPIRATION DATE: JUNE 16, 2019 �.m. 4▪• .• 1 CERTIFICATE No: 20992532 •f:W V Universal•Blvd, i o r a 3 EXE40 •P (�446-0257 F(4 4' • �` 4 TEST FORM: �+�.;�`� � ` p ���,,"�`� This certificate is not valid for were . National Registry of�Ft S ;,-,4° . rthan five years from date diem. . r ' T `.. 'M1Y ANN • • af, National Registry of Food Safety Professionals® ' CERTIFIED FOOD SAFETY MANAGER Notification of Test Result .',-- :.i ID#: XXX—XX— :4 REBECCA A WHITE Scaled Test Score: 89 1011 e01)i:l., '; ` Candidate Status: Pass Test Date: June 16, 2014 ':Certificate No: 20992532 x Issue Date: June 16, 2014 { . fi° Expiration Date: June 16, 2019 ' ,• e,S }: •- .044• Congratulations! Attached is your certificate and wallet card. Please notify REBECCA A WHITE • the National Registry of name or address changes at the address below. 291 HIGHBANK RD S YARMOUTH, MA 02664 • Preventing Contamination and Cross Contamination (Competent) Ensuring Personal Hygiene and Employee Health (Competent) . Actively Managing Controls in a Food Establishment (Mastered) w Monitoring the Flow of Foods (Competent) Ensuring Product Time and Temperature (Mastered) Conducting Cleaning and Sanitizing (Competent) Managing:Physical Facility Design & Maintenance:Preventing & Controlling Pests (Mastered) Nationaj Registry of Food Safety Professionals. I 7680 Universal Blvd Ste 550 I Orlando, FL 32819 I Phone: 407.352.3830 I Fax: 40 7.352.3603 I 4 ! ( I. .5. 1 . a . c •i i t1J i :t 4:411.1 '4:111t 1::„11 . ..,......_,‘A A, ..___ .......- _.., ,,,, • * ... - ......t i,....- t4 t i t PP. . •N..4 .is . 1 I 1 I i °14 . . • - ........,,, )-r4._ ,..--............„ ....., c-1.... --- -ir) ic1.-„ ...),ce ,...iiiiiiii-ir '',..:4611 :0) 1.(.: .....; -.) (.. 6IL '44.....4/1111. 162 ...1.2411:: .01 5 •a/14, . . Nrip<46 ik ...) . , . . _ \ .,. A • :: (11111111 . 0 - ck. ... ..., t -......:••"la'4" 110. ' Z 's . . • 1 . i 4114111( ' te/vikb, • :' 0.1"I4 415101; e, 2 , 4.4„....... 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The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. J THIS DOCUMENT IS VOID IF REPRODUCED `� Mpg S Security Control No. Z Ron Heroins 3 2 0 0 has completed the NSC CPR Course More life-saving courses from NSC Com,Adult,Chid, infant &AED • NSC First Aid, CPR & AED Training Center Cape Cod Safety Training • NSC First Aid Completion Date: 4014 • NSC Bloodborne & Airborne Pathogens Expires: cams Instructional Houlybr 77,#‘4 a 1440918 SSC — in it for life- nsc.ag/fatrairnngInstructor Signature naKture Instructor o. ibis'Keep anti r �k. your mows vow seproduted 200M1113 73178-0000 Printed in the USA 82980 t i Ya! l �pL s et ��" 1` e^ , ' wwW.0 etytrainin com • Z •‘" VI ,..i-' c% NSC 0 . , �1Nc, . 4 Course CPR ;_ : l''' ..g.7'.: *::`E.:40- ' '''' .= ' i , ... Adult, Infant, FBA & AED hid , ...,.. 3 hour class Name: Becky White Security Control No. Address: Town of Yarmouth Golf Address: 62 Highbank Rd 3200 4 2 City, State, Zip: S. Yarmouth, MA 02664 Course Completion Date: 41212014 Training Center: Cape Cod Safety Tri Expiration Date: 41212016 Instructor Name: Rick Todd Instructor Number: 1040918 Becky W has successfully completed the NSC CPR Course based on the current Guidelines for CPR and ECC. The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. I THIS DOCUMENT IS VOID IF REPRODUCED y 9� o� s9 Security Control No. ~ N firr Q ..� Z < sky White � 4 � UN� 320042 S- ya VUM�� c0 ,` k k has completed the rNSC CPR Course More life-saving courses from NSC CP11,Adidt,Child,Wad &AED • NSC First Aid, CPR & AED Training Center: CapeCod sir Training • NSC First Aid Completion Date: 41212014 • NSC Bloodborne & Airborne Pathogens Expires: 6 instructional Houhr gc..,t,L. 11-4 # 1040018 Instructor Signature instructor No. NSC - in it for life nsc.or�g/fatraining 1 � } , 200M1113 73178-0000 Printed in the USA 82980 4 i 4 „ , *: ,pL S -c . , •"e'..'.,,_.... ,' ' r,, 'S': •T,„;,2;i.,•_ ,i.'.Vt''-_ ' .,, . - NSC CPR Course � 1.= Adult, Child, Infant, FBAO & AED ..c4 ,,,... 3 hour class Name: Sandy Larkin Security Control No. Address: Town of Yarmouth Golf Address: 62 Highbank Rd 320036 City, State, Zip: S. Yth, MA 02664 Course Completion Date: 41212014 Training Center: Cape Cod S Trainkv Expiration Date: 41212016 Instructor Name: Rick Todd Instructor Number: 1040918 • Sandy has successfully completed the NSC CPR Course based on the current Guidelines for CPR and ECC. The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. 1 THIS DOCUMENT IS VOID IF REPRODUCED -,,-4 roi d� S9 , - 0.L S 0,, \�....""•J Controli�JtN2zr Q Larkin i _ Sandy , ouNo 3 2 0 ,.., 3 6 .V. has completed the NSC CPR Course More life-saving courses from NSC CPR, ,Infant &AB) • NSC First Aid, CPR & AED Tra ping Center: Cape Cod Suety Training • NSC First Aid Completion Date: 41212014 • NSC Bloodborne & Airborne Pathogens "�� X016 Instructionalr �e�.r.� © ,et it 1040918 instructor Signature Instructor No. NSC -- in it for life nsc.ar�plfatraining Kew tl� +� for y recce. V' ifly�rep�rodu . 200M1113 73178-0000 Printed in the USA 82980 a B a i Jrc. t . Phi 2 o , , NSC CPR Course .tt _ Adult, Child Infant, FBAO & AED „. . -- 3 hour class Name: Brittany McGerigle Security Control No. Address: Town of Yarmouth Golf 320037 Address: 62 Highbank Rd City, State, Zip: S. Yarmouth, MA 02664 Course Completion Date: 4J2l2014 Training Center: Cape Cod Safety Training Expiration Date: 41212016 Instructor Name: Rick Todd Instructor Number: 1040918 Brittany has successfully completed the NSC CPR Course based on the current Guidelines for CPR and ECC. The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. THIS DOCUMENT IS VOID IF REPRODUCED Op ' S4 0a p l 3.. Security Vontrol No. Z BrittanyMcGe ' e t..Y O N `d rye,. CoC O C V~0%, Ec 320037 MAA completed *�^ has the NSC CPR Course More life-saving courses from NSC CPR,Adult,Child,Infant &AED Ca• NSC First Aid, CPR & AED Training center: Safety TSI • NSC First Aid Completion Date: 41212014 • NSC Bloodborne & Airborne Pathogens Expires: 4120)16 Instructional Hou hr AL.4-it.- .71 01040018 instructor Signature Instructor No. NSC -�- jfl it for life � `• N. m nsc.org/fatraining mortis if : ,4,...„-- 200M1113 73178-0000 Pnnted in the USA 82980 w a • r FK a s r ;e 400, Www.0 Cor cf �. �4 v N , NSC CPR Course 3 •4 Adulthild infant, FBAO & A D 3 hour class Name: Doris Shelnut Security Control No. Address: Town of Yarmouth Golf Address: 62 Highbank Rd 320028 City, State, Zip: S. Yarmouth, MA 02664 Course Completion Date: 412/2014 Training Center: Cape Cod Sdaty Training Expiration Date: 41212016 Instructor Name: Rick Todd Instructor Number: 1040918 Dorissheinut has successfully completed the NSC CPR Course based on the current Guidelines for CPR and ECC. The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. I THIS DOCUMENT IS VOID IF REPRODUCED 00 11 S9 r AL S SecurityControl No. Yat_W'- Uw Doris Shelnut 3 2 0 0 2 8 has completed the NSC CPR Course More life-saving courses from NSC Cl t &AED Cape• NSC First Aid, CPR & AED Training Center: god ►Tn ng • NSC First Aid Completion Date: 41211014 • NSC Bloodborne & Airborne Pathogens ExPires: 16 tnstnucti°nat ` isr 446- / 81040918 Instructor Signature Instructor No. ` NSC — in it for tife� ani Keep t� for mods. void id . , r. 200M1113 73178-0000 Printed in the USA 82980 I. , VIA S f 3_ �. `t yr 1•41) 4„.. 0.. N � ��j ��, NSC CPR Course 4 i "f, d"E -_.ir- ,„ . „„ i,.., ,,..414.4„, „,„,7„ _'Y.4„ F f' ,,:,...r. -#.:,.., .. ,. ., .-, i _H:.„Y Adult, Child, Infant, FBAO & AED 3 hour class Name: Sean Linardos Security Control No. Address: Town of Yarmouth Golf Address: 62 Higtbsnk Rd 3 2 0 0 2 ...1, City, State, Zip: S. Yarmouth, MA 02664 • Course Completion Date: 4«4 Training Center: Cape Cod Safety Training Expiration Date: 41212016 Instructor Name: tick Todd Instructor Number: 1040918 Sean Linardos has successfully completed the NSC CPR Course based on the current Guidelines for CPR and ECC. The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. 1 THIS DOCUMENT IS VOID IF REPRODUCED d�f- i Its _- 41 &Acui Control No 09. • Z Sean Linardos+ �oUM \ F OUN ` 3 2 0 0 2 7 , ,- • has completed the . S. NSC CPR Course More life-saving courses from NSC CPR,Adult,CM 1, infant &AED • NSC First Aid, CPR & AED Training Center: CaPe Cod Safely Training • NSC First Aid Completion Date: 4/212014 • NSC Bloodborne & Airborne Pathogens E : �r�r2o16 Instructional Houhr ms . ��r, 81040918 Instructor Signature Instructor No. NSC — in it for life w ni Y '� tz ; .. 3 a 3, nsc.org/fatraining k 2C0M 113 73178-000C Printed in the USA 82980 r • Y !,-4,‘-t" z 4, -. ..1, 14A - ,s r O 494.:t rn r Fti 2 „� WWW og.com _h F - -- , _ , n urseh' S, �j p F .. ;., ,, , - ,.1. � s � Z� Adult, ChildInfant, FBAO & AED_ v.. 3 hour class Name: Jim Hallet Security Contro4 No. Address: Town of Yarmouth Golf Address: 62 Highbank Rd 320032 City, State, Zip: S. Yarmouth, MA 02664 Course Completion Date: 4/22014 Training Center: Cape Cod Safety Training Expiration Date: 4122016 Instructor Name: Rick Todd Instructor Number: 1040918 Jim Hallet has successfully completed the NSC CPR Course based on the current Guidelines for CPR and ECC. The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities and on the roads through leadership, research, education and advocacy. THIS DOCUMENT IS VOID IF REPRODUCED s p. - u }x ...JWp` sq* Security Control No. 7 y Jim Haller, � co �„NC iiw4 • ti3 3 2 0 0 3 2 ed the, ler NSC CPR Course More life-saving courses from NSC CPFt,Adtdt,Chid, Mat &AED • NSC First Aid, CPR & AEDT►air�g Center C Cod Safety Training • NSC First Aid Completion Date: 4014 • NSC Bloodborne & Airborne Pathogens Expires: 4/2/2016 Instructional Houishr Az 1k--- ''''...--07 ,� it 1140918 Instructor Signature Instructor No. NSC — in it for life . . 7-.-._!„, . - , arg�ifatralnmg i tar recce o ` ' 200M1113 73178-0000 Printed in the USA 82980