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aP4�tN. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> cq' a�P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �fFOR <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: GOLDEN GLAZE BAKERY& MARKET,340 W GRANT LINE RD , TRACY <br /> by EHD if selling at any other location. <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: Carlos Lara, Owner <br /> EH Specialist: MELISSA NISSIM Phone: _(209)468-3168 <br /> SR0074412 SC061 04/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />