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o�qu+N. San Joaquin County <br /> Environmental Health Department <br /> " ` ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.s*qov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: JEFFERSON ESD-JEFFERSON SCHOOL, 7500 LINNE RD , TRACY 95376 <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: <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0003207 SR0068814 SC523 12/18/2015 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />