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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> CIrtOChtSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CHICAGO'S PIZZA WITH A TWIST, 159 E LATHROP RD , LATHROP 95330 <br /> NOTES <br /> wiping cloth bucket 200 ppm Quat/strips available <br /> OK to permit as a 1624 once annual permit fee is paid ($355) <br /> Return to 1868 E Hazelton Ave. by 3 business days to pay annual permit fee. <br /> Effective 12-1-19 <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: Simerjit Singh, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0006345 SR0081456 SC061 12/03/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />