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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ik,�F� `.r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CLEMENTS RIDGE PRODUCE, 23363 HWY 88 , CLEMENTS 95227 <br /> Discussed report with Mike Singh. <br /> Okay to permit once permit fee is paid and 5021 form is updated. <br /> PE 1614,fee$376 <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0017584 SR0084734 SC061 02/01/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />