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SAN J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: Food Maxx#447, 610 W Kettleman LN , LODI 95240 <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: NICHOLAS WIESEMAN Phone: <br /> FA0000449 SR0083610 SC523 05/18/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />