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PQ�t" San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> 4, �P Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sj�gov.orq/ehd <br /> L�pdaN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: Colonial Energy CE 40135 (Formerly Tower Mart#104), 192 Lathrop RD , LATHROP 95330 <br /> Equipment : 2 rest rooms, 2 comp sink and mop sink <br /> Ok to issue permit once fee is paid. Program 1618 Fee $231 <br /> Return to office by 01/13/16 <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: Brandy Cummings, Store Manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0007059 SR0073921 SC061 OV1212016 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />