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II II I Environmental Health Department <br /> A _ OAQU <br /> CCUNT`f <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JACKS PLACE, 7939 W 11TH ST,TRACY 95376 <br /> NOTES <br /> This facility was closed on 10-11-17 due to a cockroach infestation. <br /> OK to re-open the facility this date at 2:45pm <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: � jfA� Name and Title: Jean Mah, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003221 PRO162881 SC333 10/23/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />