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.. r <br /> i <br /> o�qu!n. San Joaquin County <br /> In- Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> J= Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjpov.org/ehd <br /> fit/F O'tt�� <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: ROSAS' SNACKS#2, 2000 HOMER HENRY CT , TRACY 95376 <br /> License plate still needed from DMV-submit license plate#to this Department when received. <br /> OK to permit not issued this date. Commissary verification form and signage needed. <br /> Once received, ok to permit as a 1633 once annual permit fee is paid. ($179) <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 /> __Vj d <br /> Received by: Name and Title: Moises Rosas, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0024894 SR0080435 SC061 04/09/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />