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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> r�■z�w� COUNTY <br /> Greotr+ess grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: GORDILICIOUS #4JS9769, 1681 DELTA CT, MODESTO 95354 <br /> License plate#4JS9769 <br /> Ok to permit as a 1635 once the annual permit fee($237)and re-inspection fee(24 minutes)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 Adriana Pinedo, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0020404 SR0082869 SC061 12/21/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />