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�op,4 ,Fo` San Joaquin County <br /> P. �a Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.ora/ehd <br /> �crFdN" <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: BLACKWATER ON WHEELS#4GA6786, 912 N YOSEMITE AVE , STOCKTON 95206 <br /> $169 <br /> PE: 1633 <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 <br /> isrequired,fees will be assessed at the current hourly rate. <br /> 44�Received by: Name and Title: Patrick Salisbury, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br /> FA0015151 SR0078249 SC061 10/12/2017 <br /> EHE 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />