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Vin` t SAN,IQAnUlN Environmental Health Department <br /> . - COUNTY <br /> =s, Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: SIMON FOOD MARKET,201 W POPLAR ST , STOCKTON 95203 <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 3 door true--37.00°F 7 door reach in--41.00° F <br /> walk in with non PHF--47.00°F 2 door habco--38.00°F <br /> 1 doot idw--40.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid. Return to office by 08/27/19 to pay permit fee of$250 Program 1615 <br /> Equipment 2 comp sink, hand sink, mop sink, 1 rest room, water heater in attic <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: BOOTA S SAMRA, current owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001332 SR0081067 SC061 08/23/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />