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SAN)JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: LA GUADALUPANA #M451A0, 731 S SACRAMENTO ST, LODI 95240 <br />License plate #M451A0 <br />All pre-packaged food prepared at commissary (La Superior) <br />OK to permit for 2020 once annual permit fee is paid. <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: Salvador Varela, owner's son <br />EH Specialist: KADEANNE LIN HARES Phone: (209) 468-0330 <br />FA0023956 PR0541788 SC001 11/13/2019 <br />EHD 16-23 Rev. 06/30/15 <br /> Page 2 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com