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Pa�'y 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 /> ��fFORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CENTRAL VALLEY NUTRITION, 131 W MAIN ST, RIPON 95366 <br /> Facility has a 1 compartment sink-currently no food preparation at this time. <br /> Prior to facility offering prepared Bulletproof coffee(or other food prep-samples included)a 3 compartment sink will be <br /> required. Submit plans to the county and obtain proper plumbing and electrical permits from the City of Ripon prior to any <br /> changes. <br /> OK to permit as a 1615 once the annual permit fee of$215 is paid. Return to 1868 E Hazelton Ave in Stockton or pay online at <br /> www.sjgov.org/ehd. <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: Amy Evans, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0014732 SR0077765 SC061 06/26/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />