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S A N x,10 A Q U I N Environmental Health Department <br /> —C C:)lJN —Y <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: POLETERIA UNICA#3XPZ937, 3588 E CARPTENTER RD, STOCKTON 95215 <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 /> 5i lr 6 olA <br /> Received by: Name and Title: iaime zavala, Owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0023060 PRO540337 SCo01 12/28/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />