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l�I I Environmental Health Department <br /> Cu T <br /> Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KING TSIN RESTAURANT, 1040 W Kettleman LN , LODI 95240 <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0000141 SR2400352 SC521 08/14/2024 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />