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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: MELL'S FOOD TRUCK, 2404 DOW ST,TURLOCK <br /> 1. Receipt of commissary agreement <br /> 2. Receipt of documentation for correction of items: 38, 62, and 64 [Send documentation to: cmuro@sjgov.org or <br /> 209-561-8923]. <br /> 3. Pink and Green facility forms are competed. <br /> 4. Receipt of permit fee payment. <br /> Program Element: 1635 <br /> LIC:4US5646 <br /> VIN: 54463 <br /> INSIGNIA SPCM: 38387 <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: CLAUDIA MURO Phone: (209)561-8923 <br /> SR0086468 SC523 03/31/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />