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11�11h71 i ,e,d O A Q U I iI14,i1, Environmental Health Department <br /> — U N T� <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA POBLANA#68332U1, 2440 S AIRPORT WAY, STOCKTON 95206 <br /> This is a re-inspection from the routine inspection conducted by Gehane Fahmy on 11-3-2020(major violations were <br /> identified). <br /> License plate#68332U1 <br /> OK to permit for 2021 once the annual permit fee is paid <br /> No signature obtained/COVID-19 <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: Discussed w/owner Fatrima Ramirez <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0012589 PR0516382 SC333 12/29/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />