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SAN =J 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: FAMILY DOLLAR, 3233W HAMMER LN , STOCKTON 95209 <br /> Permit shall be paid and pink/green forms turned in before permit is issued <br /> Program 1618 Fee$287 <br /> Equipment: 28 Gallon 4.5 Kw Rheem Water Heater, mop basin, 2 rest rooms <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: Debbie Dill, project manager <br /> EH Specialist: MARIBEL FLOHRSCHLITZ Phone: (209)953-7817 <br /> FA0001859 SR0081677 SC523 08/18/2020 <br /> EHD 16-23 Rev.8/18/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />