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oP4u!n. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> s a Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sj�gov.org/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: MY COCINA #61145160, 730 S CALIFORNIA ST , STOCKTON 95203 <br /> NOTE <br /> Ok to permit for 2017, once fees have been paid. 1635 <br /> Lic#61145160 <br /> Vin#..4838 <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 /> 6 <br /> Received by. Name and Title: Claudia, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0019615 SR0077252 SC061 04/19/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />