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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., iP• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> <<FORN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: SCHOOL STREET NUTRITION, 22 S SCHOOL ST, LODI 95420 <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> W <br /> Received by: Name and Title: Gabriel DeAnda, Owner <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0007310 SR0077934 SC523 09/29/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />