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>4f'An�•�o 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.sjgov.org/ehd <br /> 'd4d�Mt' <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LOS JALICIENSE, 1420 S CALIFORNIA ST , STOCKTON 95206 <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,feesf will be assessed at the current hourly rate. <br /> y� '{' r Ul: <br /> Received by: IO 2 � Name and Title: Rigoberto Andrade, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0013809 SR0074272 SC061 04/05/2016 <br /> EH 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />