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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: CAGASOLINE EXPRESS, 2115 W YOSEMITE AVE , MANTECA 95337 <br /> Bradford White 47 gallon hot water heater 4500 upper/4500 lower <br /> OK to permit as a 1617 once the annual permit fee of$258 is paid. Return to 1868 E. Hazelton Ave in Stockton to pay the <br /> annual permit fee today/prior to ownership change. <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: --1�14eia Name and Title: Amrit Sandhu, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0017819 SR0076183 SC061 11/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />