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San Joaquin County <br /> Op,, .....• C <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> • Cq - ;p• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 'ii=oaN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JACKS PLACE, 7939 W 11TH ST, TRACY 95376 <br /> Owner passed away,owner's wife is operating facility. Both names have always been on ABC license. <br /> Facility may not have any employees <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: 17 Name and Title: Jean Mah, Owner's wife <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0003221 PRO162881 SCO01 04/02/2015 <br /> EHD 16-23 Rev.01130115 Page 3 of 3 Food Program oIR <br />