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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ik,�F� `1r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: , 102 PIERCE AVE , MANTECA <br /> Okay to operate. Obtain permit prior operating business. <br /> PE1624 $355 to be paid for the new annual health permit under the new ownership. <br /> 5021 form to be updated. <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: <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> SR0083892 SC061 06/28/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />