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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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: DOMINOS PIZZA, 7908 WEST LN , STOCKTON 95210 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> ok to issue permit once fee is paid. Program 1624 Fee$350 There is an extra plan check fee of$76.00 <br /> Return to office before restaurant opens to the public to pay fees and fill out required paper work <br /> Equipment 2 tankless water heaters(Navien), mop sink, 3 comp sink, 2 hand sinks, prep sink, 1 rest room <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: AV4 Name and Title: michael mendoza, general contractor <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0023133 SR0078522 SC523 04/06/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />