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RI Department of Health www. health. ri. gov Revised 06/10/2015 Rhode Island Department of Health Application and Instructions for Manager Certified In Food Safety Applicant Name OFFICE USE ONLY Initials Approved by F.O. Registration forms must be either typed or legibly printed using a ballpoint pen except signatures which must be written in ink. Include Name of Memorial Hospital Published on the Facility License Number Number FSV/MRK MANDATORY Education Information Did you complete a...
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