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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ik,�F� `.r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LA MEXICANA RESTAURANTE Y BIRRIERIA, 215 N CHEROKEE LN , LODI 95240 <br /> OK to issue permit once permit fee is paid and 5021 form is completed. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0000701 SR0087802 SC061 04/08/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />