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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> r�■z�w� COUNTY <br /> Greotr+ess grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: BARISTA BETTIES#4RD1381, 2910 N ALENE AVE , TRACY 95304 <br /> OK to permit as a 1633 once the annual permit fee is paid ($179) <br /> Permit fee shall be paid prior to operation. <br /> Photo of bill of sale taken. Provide a copy of trailer registration/title once received. <br /> No signature obtained/COVID-19 <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: Discussed w/owners Vanessa&, Co <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0024210 SR0082096 SC061 06/08/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />