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oPa �o San Joaquin County <br /> Environmental Health Department <br /> " 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> a` ` Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.ora/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: POBLANA#2 LIC#4RK5919, 1717 S UNION ST , STOCKTON <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 /> Ti -4 <br /> Received by: Name and Title: Fatima Ramirez, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> SR0080455 SC061 04/11/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />