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NRL"!Nj.. San Joaquin County <br /> �0. CSG <br /> :�, Environmental Health Department <br /> " _ 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9��FORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: NORTH VALLEY SCHOOL, 12755 N HWY 88 , LODI 95240 <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: deWayne Norris, principal <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FAD000342 PRO161802 SC333 12/10/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />