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SAN JOAQUIN Environmental Health Department <br /> I(t!i .. CJUNTY— <br /> rGreorness {grovis here <br /> a Ay\ <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: EL GUADALAJARA, 730 S CALIFORNIA ST , STOCKTON <br /> steam table—182.000 F cooler--41.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid <br /> Return to office Nov 1, 2021 to turn in paper work and pay fee <br /> Program 1635 Fee$237 <br /> LIC 6V94696 <br /> VIN 1GBHP32KOR3310275 <br /> Previously permitted in Sacramento County 2016-2019 <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: Maryam Kore Ramirez, co-owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 616-3051 <br /> SR0084343 SCO61 10/20/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobiie Food Facility Service Request Inspection Report <br />