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I Environmental Health Department <br /> S A N-6J 0 A 0 U.iM <br /> CC)L) TY <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: STAR TEA, 1497 W YOSEMITE AVE , MANTECA <br /> PE1623 $350 to be paid for the new permit. Pink and green forms <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 /> SR0084070 SC523 03/07/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />