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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LAKEWOOD LIQUORS, 215 LAKEWOOD MALL , LODI 95242 <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 /> , j Y� ,,, <br /> Received by: Name and Title: Shaivam Kumar, Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000700 SR0080114 SC061 01/28/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />