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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ik,�F05 `.r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ARCO AMPM,440 W DR. MARTIN LUTHER KING JR BLVD , STOCKTON 95206 <br /> OKAY to issue permit once permit fees are paid and 5021 is updated. <br /> Program Element: 1615 <br /> Please note:The signature of the person receiving the inspection report was not captured. <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: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002321 SR0086508 SC061 03/29/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />