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�P.�•��k. Q San Joaquin County <br /> X 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: TIKI LAGUN RESORT&MARINA, 12988 W MCDONALD RD , STOCKTON 95206 <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: Josh, Contractor <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0004175 SR0074997 SC523 03/06/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />