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Y $A N.J OA U(N Environmental Health Department <br /> Utf;K:' COUNTY--- <br /> ss yrov.s here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: 85c BAKERY CAFE, 878 W BENJAMIN HOLT DR , STOCKTON <br /> NOTES <br /> Ok to issue permit once fee is paid <br /> Return to office before opening <br /> Program 1623 Permit Fee$350 plus extra visit fee$76 <br /> Work on pending issues <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: I"'1* Name and Title: manuel palma, supervisor <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0079855 SC523 09/25/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />