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11 � I I I AI Environmental Health Department <br /> N <br /> Y U N <br /> r�■■z�ti� C0L N T Y <br /> Greorness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: INDIAN SHACK HUB, 1301 S SACRAMENTO ST , LODI 95206 <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: discussed w/Gurman, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0026243 SR0087390 SC061 11/16/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />