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�...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: 133 CLUB, 133 W YOSEMITE AVE, MANTECA 95336 <br /> quat sani-tabs and test strips available <br /> 4 x 20#CO2 on site this date. <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 /> Received by: Name and Title: David Griffin, Bartender <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0000890 PRO161119 SCO01 08/22/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />