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SAN ]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: DOWNTOWN LIQUOR& MARKET LLC, 101 N SACRAMENTO ST, LODI 95240 <br /> Okay to issue permit for program element 1615. E-mail the followings to sshih@sjgov.org: <br /> • A copy of updated facility information (Form 5021).The required field in this form is highlighted. This form is provided on <br /> site. <br /> • A copy of owner's driver license. <br /> A sign, advising patrons that a copy of the most recent inspection report is available for review, is provided. Post this sign <br /> today. <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: Rashpal Hundal, Owner <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0000126 SR0081974 SC061 04/16/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />