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SAN, ` J O ` Q, + I N Environmental Health Department <br /> }1-��4 If 1'11 Hh� ' Y JI <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CVS Pharmacy#9261, 100 W Lodi 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 required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Iftikhar Salim, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000121 PRO160289 SCO01 12/22/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />