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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ik,�F05 `1r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: PACIFIC AVENUE CHEVRON, 6633 PACIFIC AVE , STOCKTON 95207 <br /> QUAT test strips on site. <br /> Okay to operate. <br /> Obtain permit ASAP <br /> PE 1617 $301 to be paid for the new 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 /> FA0002483 SR0084751 SC061 01/24/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />