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NCL"11N San Joaquin County <br /> �.CGG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... �a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> SLj�p'�ia <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PACIFIC AVENUE LOUNGE, 5939 PACIFIC AVE, STOCKTON 95207 <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 /> (�C..dSJ1�fC� <br /> Received by: Name and Title: Laura Clark, mgr <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> FA0002230 PRO160062 SCO01 11/07/2016 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />