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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI USD-ANSELADAMS ELEMENTARY, 9275 GLACIER POINT DR, STOCKTON 95212 <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: mary patterson, manager <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0015582 PR0523085 SCO01 10/20/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />