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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> r�■z�w� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ACE SUSHI @ SAVE MART 94, 15240 S HARLAN RD , LATHROP <br /> OK to issue a permit as a 1612 once Item#41 has been corrected ($350) <br /> No signature obtained <br /> Report typed in the office 3:21 p-3:38p <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: discussed w/Ann (ACE)&Zeke(SM <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0087374 SC061 11/06/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Food Program Service Request Inspection Report <br />