HomeMy WebLinkAboutQFO 60 Bidwell Road EXAM FORM NO, 10439
CERTIFICATE NO. 12259599 ery nfe
CERTIFICATION
ro JACQU E LI N E M H MATH
for successfully completing the standards set foi-th for the ServSafee"'rood Protection Manager Certification Examination,
which is accredited by the American National Standards Institute(ANSI)-Conference for rood Protection (CFP).
04/28/2015
DATE OF EXAMINATION
04/28/2020
DATE OF EXPIRATION
Local laws apply. Check with your local regulatory agency for recertification requirements,
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Collelo, Diane
From: Mike D <Miked@nomadsct.com>
Sent: Wednesday, March 08, 2017 12:07 PM
To: Collelo, Diane
Subject: Servsafe Certification
Attachments: Hnath ServSafe.pdf
Hi Diane,
Please see the attached Servsafe certification for Jacqueline Hnath. She is a Manager at Revolutions. Sorry I haven't
sent this sooner. I was under the impression you were visiting our facility on March 6, 2017. 1 just reread the letter sent
to us back in January and it is pretty clear we were supposed to send it in.
Regards,
Michael DeBella
Director, Operations
Nomads Entertainment
Office 860-290-1177 ext. 203
Fax 860436-9040
60 Bidwell Rd.
South Windsor, CT 06074
Nomads Adventure Questl Revolutions Bowling&Loungel Red's Taverns Nomads Outdoor Adventure
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FILE-NUMBER.---PROGRESS FILE FILE NAME:
NOTES ADDRESS:
TOWN:
DATE TIME ACTION INITIALS DATE
Coo—
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Collelo, Diane
From: vtsdmailer@vt-s.net on behalf of revolutions bowling and lounge <vtsdmailer@vt-
s.net>
Sent: Sunday,January 01, 2017 10:26 AM
To: Collelo, Diane
Subject: Form submission from:
Submitted on Sunday, January 1, 2017-10:25am Submitted by anonymous user: ::ffff.72.215.236.17 Submitted values
a re:
Class: 4
Establishment Name: revolutions bowling and lounge Street Address(Street, Town, State, Zip): 60 bidwell rd south
windsor ct
06074
Mailing Address(Street, Town, State, Zip): 60 bidwell rd south windsor ct
06074
Business Phone: 8602822695
Website:
Business Fax:
Email:
Legal Owner: craig nation
Mailing Address(Street, Town, State, Zip): 60 bidwell rd south windsor ct
06074
Home Phone: 8602822695
Cell Phone:
Email:
Emergency Contact Name: michael debella
Emergency Contact Phone: 8609891569
Emergency Contact Email:
Best way to be reached in an emergency: phone QFO/Manager Name(Class 3&4 Establishments): kyle waters
Designated Alternative Name: dana lane Renovations/New Equipment: No Water Supply: Public Wastewater Disposal:
Public Other Licenses: Liquor Permit
Menu:
http://www.southwindsor.org/sites/southwindsorct/files/webform/health_fi les/menu_O.docx
QFO Certificate:
http://www.southwindsor.org/sites/southwindsorct/files/webform/health_fi les/img_0196_0.jpg
==Disclaimer==
The results of this submission may be viewed at:
http://www.southwindsor.org/node/l 1601/submission/7403
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