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�op4co San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> y Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> ��fFOR� <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: LA CASITA,2616 S MADISON ST , STOCKTON <br /> steam table-- 140.00°F 2 door prep--33.00°F <br /> NOTES <br /> OK to issue permit once fee is paid <br /> Program 1635 Fee $237 <br /> LIC 4SH9474 <br /> VIN 4M9M1 EBlXKS09016 <br /> Insignia EBlXKS093016 <br /> 3 comp, hand sink, 2 door prep cooler, food warmer, Type I Hood, 30 gal fresh water tank, 60 gal waste water tank <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: Erika Solis, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0080813 SC523 08/19/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />