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Pa�'y San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��fFORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TRACY GROCERY OUTLET, 825 W ELEVENTH ST,TRACY 95376 <br /> meat walk-in--41.00°F restroom hand sinks--x2--110.00°F <br /> yogurt side of back wall unit--49.00°F 3 door True--beer--40.00°F <br /> 5 door walk-in--41.00°F mop sink--121.00°F <br /> dairy walk-in- 38.00°F 2 door Pepsi Fogel--43.00°F--no phf <br /> 2 door Coke 40.00°F yogurt--product temp--49.00°F <br /> sausage side of back wall unit--49.00°F produce display--41.00°F <br /> NOTES <br /> OK to permit as a 1618 once the annual permit fee is paid. <br /> Pay annual permit fee of$270 by 3 business days <br /> Change of ownership effective today. <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 /> ti+ [ 66")L <br /> Received by: Name and Title: Asama Ahmad, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003231 SR0078446 SC061 12/04/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />