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THE NATIONAL REGISTRY OF
Io4��D FOOD SAFETY PROFESSIONAt,S�
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'� �� � � CERTIFIES
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WENDY MOREIRA
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HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR
,
THE FOOD SAFETY MANAGER
CERTIFICATION EXAMINATION
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• � ISSUE DATE:JUNE i
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�CERTIFICAT
E No: XE2038841
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Notification of Test Result a.m, � �National Registry otFaod Safety Professional:
- �'a � CERTIFIED FOOD SAFETY MANAGEF
ID#: �cx-xx-
Scaled Test Score: 92 WENDY MOREIRA
Candidate Status: Pass
Test Date: June 17, 2009
, ' certiF��eNo:SCEzo3ssqi9
Issue Da�e:June 17,2009
Congratulations!Attached is your certificate and wallet card.Please notify �TEj�1DY jyI�R�IRA � � � � � � � �
[he Na[ional Registry of name or address changes a[the address below. (']$�{$'j'$jt j�
WEST YARMOUTH, MA 02673
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Ensure Food Protection(You scored 100%correct).Mastered �
Purchase and Receive Food(You scored 100%correct).Mastered ' � �
Food and Supplies Storage(You scored 80°/a correct).Competent
Foods Preparation,Service&Display(You scored 89%corred).Mastered ' '
Equipment&Facilities Maintenance and Cleanliness(You scored 81%correct).Competent
Personnel Hygienn,T�aining and Behaviors Related to Food Safety(You scoretl 100%corred).Mastered
Legal Compiiance(You scored 0°k correct).Needs review
Na[ional Regis[ry oFFood Safety Pmfessionals� � 5728 Major Blvd S[e 750 � Orlando,FL 32819-0000 � Phone:407352.3830 � Fax:407.352.3603
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q�F��`�t,c. THE N.�710NAL REGISTRY OF
`'k Fp
OD �AFETY PROFESSIONAL'>�
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�� �. . . HAS SUCCE�$FULLY SATISFIED THE REQtJfREM�F17'$ FOR � . �...
THE FOQD SAFETY M4ANAtiEF2
GERTIFECATION E7C.qMINATIQN
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�titic�tieH of Test Result
_����� Na6onai Regishy oFFood Safery Professionals �
#I: XXX-XX-gS�7Z CERTIFIED FOOD SAFETY MANpGER � �:����
aled Test Scote: 86
ndidate Status: Pass JAMES GARDINER
st Date: March 29, 2007
Catificate No:XE20101706
� � Issue Dah:Merch 29,2007
i@�atulations!Attached is your certiftcate and walFet cerd..Pleese e�tify Jpjy(�s (�jA���R
National Regisdy of name or address changes�at[he address b¢Iaw.� ,ft�� Mf�I� $T . '
W YARMOUTH, MA Q2673
swe Futad�Protection(You scared 82°h corteGt).Campetenf � . :
rchase arM Rbceire Food(You accretl�91%corrcGt) �oreti . . � ,.
OU a1M.SUW(1IIQ3 S�OfBg@(YOW SCOF9C�OYe .f'flfCBCI�.CflRI¢l�fl� � . .,.
ods Preparatren,SeroiCe 8�isWaY(Yw aeand.6396 mrra�:t),Maatareti � ..
uipment�d FaciAtiss:Maintonarwe and G�eanlMess(Yau xwtott Ot Yo.�rtett).C6mpetent � � �
ra9nnel Mygisne,Tfainitg and�Behaviors.Rileted ta FoOd:�y(Yc4 sccr8d&3%GOrted)�.Maskled � .
pal ComP�iatice(You acured 0%cmrrect).�NeoAs eeViaw � . � .
National Ragistry of Food Safety Professionals� � 5728 kfajor Blvd Ste 750 � Orfando,FL 32$19-0000 � phone;407352383� I .Faz:�4f1735236U3 �
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�� ,`�� TOWN OF YARMOUTH
� "j 1 1+G FOi'TE 28 SOL'TH I:�R\IOL'TH �I.aSSACHL"SETTS 0266�_�431
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�-+�oq,� �a,„P���' Telep6one i�081 398-2Z31, Ett 1241 -- Fati �,�08) iG0-3472
� B O A R D O F H E A L T H
November 27, 2012
Gerald Manning, Pres.
Captain Pazkers Pub, Inc.
668 Route 28
West Yarmouth, MA 02673
Re: 2013 License/Permit Application
Deaz Mr. Manning,
Thank you for submitting the 2013 application for your establishment's food service and common
victualler permits issued through the Health Deparhnent. Please note that a copy of the Food >
Protection Manager's certification, as well as copies of Heimlich Maneuver certifications,aze
required to be submitted with the application.
All food service establishxnents are required to have at least one full-time employee who is certified
as a Food Protection Manager, as defined in the State Sanitary Code for Food Service
establishments, 105 CMR 590.000.
All food service establishxnents with 25 seats or more must have at least one employee trained in the
Heimlich Maneuver on the premises at all times.
Please note that the Health Department cannot use past yeaz's records,as we aze unable to verify if
those staff inembers aze still under your employment.
As soon as our office receives the above noted certification copies,we will be able to compiete the
processing of the food service and common victualler permits.
If you have any questions on the above, piease feel free to contact our office at (508)398-2231,
extension 1241. Thank you for your anticipated cooperation.
Sincere��
�
Mary Alice Florio
Principal Department Assistant
/maf
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