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r <br /> SAN J A Q U i N Environmental Health Department <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KIPP STOCKTON MIDDLE SCHOOL, 742 DALLAS AVE , STOCKTON <br /> Report typed at the office 3:37pm-3:45pm <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: discussed wl Jessica Miranda, Direc- <br /> EH Specialist: KADEANNE LINHARES Phone: (209) 616-3025 <br /> SR0083999 SC061 11/0912021 <br /> EHE 16-23 Rev.09/1612020 Page 2 of 2 Food Program Service Request Inspection Report <br />