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S A N J a + Q U I ` ,'�1}II Environmental Health Department <br /> �Hl .� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JACK IN THE BOX#557, 611 W GRANT LINE RD, TRACY 95376 <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: � v Name and Title: Deborah Pugsley,Team Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003174 PRO167532 SCO01 01/03/2020 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 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 />