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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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TIENDA GUATEMALTECA EL QUETZAL, 1069 N WILSON WAY, STOCKTON <br /> 2 elements <br /> water heater only good for prepackaged <br /> PE 1615 <br /> An additional hour of consultation time needs to be paid $ 130.00 <br /> Ok to issue permit when the fee for the permit and fee for follow up is payed. Obtain permit prior to operating the facility. <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: Alegandro Bautista, Owner <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> SR0074856 SC061 05/27/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />