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oP4�tN, San Joaquin County <br /> Environmental Health Department <br /> J. 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.slgov.org/ehd <br /> v.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOMINOS, 107 W NORTH ST, MANTECA 95336 <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: V <br /> �/ Name and Title: Vincent Lopez,Asst. Mgr. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0022562 PR0539463 SCO01 12/21/2015 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />