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Food Program Service Request Inspection Report <br />Facility Name and Address: TEQUILA SHOP & MARKET, 608 S CENTRAL AVE , LODI 95240 <br />Environmental Health Department <br />walk in -- 41º Fahrenheit hand sink -- 102º Fahrenheit <br />3 comp sink -- 105º Fahrenheit mop sink -- 105º Fahrenheit <br />hand sink -- restroom -- 100º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of owner inspection. <br />PE 1618 <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:Phone:(209) 616-3032 <br />, <br />FRANCISCO RUIZ <br />, <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0025281 SR2501472 SC521 09/16/2025