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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Hazardous Materials Program Official Inspection Report <br />Facility Name and Address: TACO BELL #30779, 2880 W GRANT LINE RD, TRACY 95304 <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Flow rate:gpm <br />pH: <br />Chlorine:ppm <br />Cyanuric acid:ppm <br />Temp:º F <br />Combined chlorine:ppm <br />NOTES <br />No comment entered. <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) 468-3445 <br />Josh Mata, shift supervisor <br />NICHOLAS WIESEMAN <br />Page 3 of 3EHD 19-01 Rev. 06/30/15 Hazardous Materials Program <br />OIR <br />FA0007581 PR0520683 SC001 02/23/2018