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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> .�M CaLJT <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: Costco Wholesale#38, 1616 E Hammer LN , STOCKTON 95210 <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 /> FA0001705 SR0082988 SC523 04/28/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />