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r ' <br /> h ` S A N 1 QQ U IY Environmental Health Department <br /> 2 •� <br /> v <br /> I�hl CCJUN "IY <br /> Greatness crows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: FIRESIDE INN AND LOUNGE, 854 E LATHROP RD , LATHROP 95330 <br /> Still in escrow: ownership change will be effective after ABC license is obtained (earliest is by 30 days 18-1-2025) <br /> OK to permit as a 1621 once the annual permit fees are paid($304+$15 tech fee)=$319 <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!John Winn,new owner <br /> EH Specialist: KADEANNE LINHARES Phone: 209 616-3025 <br /> FA0000222 SR2501202 SC2160 07MV2025 <br /> EHD 16-23 Rev.0911W020 Page 2 of 2 Food Program Service Request Inspection Report <br />