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SAN J O aH� Q U I N Environmental Health Department <br /> , 1-g �r <br /> Food Program Official Inspection Report <br /> Facility Name and Address: COUNTRY KITCHEN, 1327 W LOCKEFORD ST, 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: denis xenos, owner <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000424 PRO160094 SCO01 12/22/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 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 />