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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: JOLTZ COFFEE BAR, <br />23 potable water tank <br />40 waste water tank <br />Ok to issue permit. Obtain permit prior to operating the business. <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: Carol Zuro, owner <br /> <br />EH Specialist: VIDAL PEDRAZA Phone: (209) 468-0334 <br />SR0078077 SC061 08/21/2017 <br />Page 2 of 2 Mobile Food Facility Service Request Inspection Report El-ID 16-23 Rev. 06/30/15