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Environmental Health Department <br /> SANSQ A n 4U <br /> — - COUN7Y--- <br /> C,itrran!'�r Grleotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: La Mesa, 1771 N WILSON WAY,STOCKTON 95205 <br /> Maintain the current health permit and a copy of the most current inspection report on site. <br /> Signature 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 reinspeclion is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> FH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0000792 SR2400577 SC3500 1112512024 <br /> EHD 16-23 Rev.09/1612020 Page 2 of 2 Food Program Service Request Inspection Report <br />