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aPA"+n. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.ora/ehd <br /> ••��c1CCti�'�p <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: 15833 S AIRPORT WAY, MANTECA <br /> Ok to permit as PE 1633($179)after owner provides copy of vehicle registration. <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: Sal Perez, owner <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> SR0079764 SCO61 10/19/2018 <br /> EHD 16-23 Rev.06/30115 Page 2 of 2 Food Program Service Request Inspection Report <br />