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Pquin� San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FAIRMONT REHABILITATION HOSPITAL, 950 S FAIRMONT AVE, LODI 95240 <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 r/equired,fees will be assessed at the current hourly rate. <br /> U4 V U - <br /> Received by: Name and Title: viola sawyer, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0009730 PR0527300 SCO01 07/21/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />