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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: HISTORIC DURHAM FERRY, 29442 S AIRPORT WAY , MANTECA <br /> NOTES <br /> New school consultation inspection. <br /> Breakfast is delivered from Lodi USD kitchen. <br /> Okay to operate and issue the permit. <br /> Pink and green form need to be filled out. <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: Y��— <br /> Name and Title: Ryan Flores, Program Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> SR0080933 SC061 12/18/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />