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SA N J OAQ U S N Environmental Health Department <br /> Y - -COUNTY -- <br /> ' Greor„ess (gr{7w= <br /> f1Q1 t' <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: STOP-N-SHOP, 1856 W COUNTRY CLUB BLVD , STOCKTON 95204 <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> walk in--40.00° F <br /> NOTES <br /> Ok to issue permit once fee is paid <br /> Return to office by 01/03/20 to fill out paperwork and pay fee <br /> Program 1615 Fee $250 <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: ,Y y Name and Title: nagi alhadi, cashier <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0018701 SR0081585 SC061 01/02/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />