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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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ESPRESSO EXPRESS, 1330 E YOSEMITE AVE , MANTECA 95336 <br /> Facility shares 3 comp sink, mop sink and restroom(s)with Gas Depot. <br /> OK to permit as a 1612 once the annual permit fee is paid. <br /> Return to 1868 E. Hazelton Ave. in Stockton to pay the annual permit fee prior to opening ($350) <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: Sengthip Phonpradith, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0016306 SR0078376 SC061 11/16/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />