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CO0050257
EnvironmentalHealth
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1600 - Food Program
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CO0050257
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Entry Properties
Last modified
10/4/2019 11:32:38 AM
Creation date
9/17/2019 4:06:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0050257
PE
1600
FACILITY_ID
FA0020888
FACILITY_NAME
JALOS TAQUERIA
STREET_NUMBER
25456
Direction
S
STREET_NAME
SCHULTE
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20944035
ENTERED_DATE
8/5/2019 12:00:00 AM
SITE_LOCATION
25456 S SCHULTE RD #2
RECEIVED_DATE
8/5/2019 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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ADMIN
Tags
EHD - Public
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BILL-TO 2493517 LOCATION 2493517 INVOICE#: 24394200 <br /> The Taqueria Jalos The Taqueria Jalos AIMNNNW�41NNNsk <br /> 25456 5 Schulte Rd 25456 S Schulte Rd KCLARK ■ <br /> Tracy,CA 95377-9709 Tracy,CA 95377-9709 <br /> ■PEST CONTROL• <br /> im our Terms Amount <br /> Serv�ce Description <br /> ll I. is 115.00Pest-Away Service DUE UPON RECEIPT <br /> subtotal 115.00 <br /> Tor 0.00 <br /> Total 115.00 <br /> Prior Balance: 235.00 <br /> Total Due: 350.00 <br /> 002493517 24394200 00035000 <br /> Clark Pest Control of Stockton Service Report <br /> Inc. <br /> P.O. Box 1480 INVOICE #: 24394200 work Date: 8116/19 <br /> Lodi,CA 95241-1480 <br /> 800-936-3339 <br /> Time In: 8/16/19 9:35 AM <br /> Time Out: 8/16/19 10:22 AM <br /> Customer Signature <br /> ipI it ul l�inrn�ip/I ipl npl ptlplW.lino UI qll r,r2�iQif i iijul 7ni n In iw.lil ii ui.'�oa^��i y,.�y�Nir, , i 2l�9•.5i 'II it .., .i., <br /> The Taquerla Jalos The Taqueria Jalos <br /> Customer Unavailable to Sign <br /> 25456 S Schulte Rd 25456 S Schulte Rd Technician Signature <br /> Tracy,CA 95377-9709 Tracy,CA 95377-9709 <br /> Dwight Alexander <br /> Licence#: CA-FR39378 <br /> j Ill!l"U91 W. Il 'Jk I;III.li ill! liII!J1 IlIlkillilllll ll'I IIIIIIIII II!Ilf�l'I IIIIIII ''illddl IJllilll IIIIIIIIIIIhIIIJlllll IIIIJIIIIIIIIIIIIIIIII IIIIP,lillllll III hIIIIII r'�v' 'il'.,v n n' ' i' <br /> 1 0 u rill VIII r'ugalili Ouluiuolullil!�Illvlllunllll'lilIi, <br /> I ,•I, u161 ulfiiillillluumlWill <br /> uiiilimaumm luul'iil;u uu lu����;i nl .I.ur <br /> aunt <br /> Pest-Away Service DUE UPON RECEIPT 115.00 <br /> Subtotal 115.00 <br /> T" 0.00 <br /> Total 115.00 <br /> Prior Balance: 235.00 <br /> Total Due: 350.00 <br /> NERAL COMMENTS/I,NSTR4CTIONS <br /> Today's service I inspected all interior traps Two rat captures In ceiling void area one over refrigerator area the other by back door area.Removed and reset traps Inspected all <br /> floor traps no captures.Inspected exterior bait station rodent activity found.Replaced bait due to being Gnawed.I also spot treated Interior kitchen area for spiders,and other <br /> door yard pests. Also received today$235 cash payment.Thank you <br /> �>I, ,I� d uuc I IaI I n��uu-I II r�wlrl�!v>I i I nPIUIUV�IIrI I Iglll'llib6pl nl wm P.ulPngt I I III IIIII,!'Ip�'UVIp ullullGulluplunl iD�I w�alil:.;p <br /> UCTIAPOLICATION SUMMARY, <br /> Y �� ., �n a [:III[]IaI Ilil.ulul lu uiiiilinl I�Flo I�16ilar�ii Iltlm�„miliiiiiiil,ul ml IIII,:Itiuililiiii, <br /> Material EPA# Active Ingredient Finished Qty Undiluted Qty <br /> Suspend PolyZone-LV 432-1514-AA Deltamethrin 0.1500 Gallon 0.0375 Ruld Ounc <br /> Areas Applied: Exterior <br /> Target Pests: Spiders <br /> Material EPA# Active Ingredient Finished Qty Undiluted Qty <br /> Suspend SC 432-763-ZB Deltamethrin 0.1500 Gallon 0,0375 Ruld Ounc <br /> Areas Applied; Interior <br /> Target Pests: Ants/Spiders,Spiders <br /> Printed:8/16/19 Paget 111 <br />
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