Laserfiche WebLink
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: ESCALON GOLF CLUB HOUSE, 17051 S ESCALON BELLOTA RD , ESCALON 95320 <br /> Return to 1868 E. Hazelton Ave., Stockton with photo ID and/or tax ID to complete the change of ownership form and pay for <br /> annual permit. <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 /> o <br /> Received by: Name and Title: Lorie Macsenti, manager <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0000337 SR0079637 SC061 09/14/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />