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SAN J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ROSE TEA LOUNGE STOCKTON, 5634 N PERSHING AVE , STOCKTON 95207 <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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0025365 SR0086604 SC061 05/17/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />