Laserfiche WebLink
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 /> ��/FORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TRACY HARBOUR FISH N CHIPS, 557 W CLOVER RD ,TRACY 95376 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Lorena Robles Expiration Date:June 21,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True(3-door)--41.00°F <br /> NOTES <br /> Ok to permit once fees have been paid, return to EHD and pay for permit. PE 1624 <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: Lucito, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0020489 SR0075513 SC061 08/24/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />