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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> r�■z�w� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: Z VAPE N DISCOUNT, 245 E ELEVENTH ST,TRACY <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door True-right--40.00°F 2 door True-left--41.00°F <br /> NOTES <br /> Consultation to determine if the facility needs a health permit <br /> Footprint(estimated dimensions)of non-potentially hazardous food: <br /> Candy/chips/gum/snacks: 1 x 4(x4)= 16 sq feet <br /> Beverage coolers 2x4 (x2)= 16 sq feet <br /> Total sq feet=36(estimated) <br /> Facility is above the 25 sq ft.threshold and will require a health permit <br /> Facility will be permitted as a 1620: Retail market(Incidental)26-300 sq ft. <br /> Annual permit fee is$107 <br /> Please submit a photo of compliance for item#41 by 1-10-2021 <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/Hisham Alzindani, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0082979 SC061 12/10/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />