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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.sigov.org/ehd <br /> 9��PO•RtN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: DUTCH BROS COFFEE-LODI, 2602 W KETTLEMAN LN , LODI <br /> PE 1623 <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 /> ;9:'� <br /> Received by: Name and Title: Kip Curtiss, superintendent <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> SR0079140 SC523 11/19/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />