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Food Program Service Request Inspection Report <br />Facility Name and Address: JAMESTOWN NUTRICION, 127 E JAMESTOWN ST , STOCKTON <br />Environmental Health Department <br />Facility will serve shakes, teas, and waffles. <br />Provide commercial unit when replacing residential Kirkland refrigerator. <br />Facility will have 14 seats. <br />discussed report with Mario and Teodolmira Vasquez. <br />No signature captured. <br />Ok to issue permit once pink & green forms are submitted and permit fee is paid. <br />PE 1623, fee $350 <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) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 3 of 3EHD 16-23 Rev. 07/05/2022 Food Program Service Request Inspection Report <br /> SR0085992 SC523 04/13/2023