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Food Program Service Request Inspection Report <br />Facility Name and Address: LOA DER, 5646 N PERSHING AVE , STOCKTON 95207 <br />Environmental Health Department <br />Maintain a copy of the official inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not captured. <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:Phone:(209) 561-8923 <br />Ratsamy Keopraseuth, Owner <br />CLAUDIA MURO <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0008059 SR0084944 SC061 04/27/2022