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gP4V.!N., San Joaquin County <br /> P: :J <br /> Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4ddaN <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA PICOSITA ABY55169, 1301 S SACRAMENTO ST, LODI 95240 <br /> NOTES <br /> LIC 8Y55169 <br /> VIN ...4771 <br /> Sanitizer bucket 50 ppm chlorine <br /> Note: Facility has mechanical refrigeration. <br /> OK to issue permit after fee is paid. PE 1635 <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: Alfonso Ochoa, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0016056 PR0535850 SC001 12/09/2016 <br /> EH 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />