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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: 76 GAS STATION, 1916 E MARCH LN , STOCKTON 95210 <br /> Discussed report with Mike Saleh, Employee. <br /> No signature captured. <br /> There will be a chargeable re-inspection on or after 1/5/2022. <br /> Ok to issue permit once permit fee is paid and 5021 form is updated. <br /> PE 1615,fee$275 <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0018792 SR0086156 SC001 12/22/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 4 of 4 Food Program Service Request Inspection Report <br />