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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: VFW POST 1051, 12455 WEST RIPON RD , RIPON <br /> PE 1624$355 to be paid for the new health permit. <br /> Pink and green forms to be filled. <br /> As Veterans organization, if you can provide us with 501 C3 form,we could waive the annual permit fee. <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 /> SR0083804 SC061 06/03/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />