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San Joaquin County <br /> .ti Environmental Health Department <br /> N: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> q., Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> LI FORM <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ODD FELLOWS TAVERN,18961 LOWER SACRAMENTO RD , WOODBRIDGE <br /> Names of co-owners: Mike Linker, Dave Royce, Kenny Littleton, Kathyn Joachin <br /> Equipment State water heater 100 gallons/120,000 BTU, large dishwasher in kitchen, small dishwasher at bar, bar hand sink, <br /> kitchen hand sink, prep sink, 3 comp sink, mop sink,2 rest room sinks <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: <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0081680 SC523 04/06/2020 <br /> EHD 16-23 Rev.06/30/15 Page 4 of 4 Food Program Service Request Inspection Report <br />