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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 /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TACOS LA POTRANCA, 504 W GRANT LINE RD , TRACY <br /> NOTES <br /> Food plan check final inspection conducted at existing (currently inactive)facility. <br /> chlorine sanitizer will be used/chlorine sanitizer test strips are needed <br /> OK to permit as a 1625 once: <br /> 1)the annual permit fee is paid ($376) <br /> 2)conditions from other agencies(City of Tracy, etc.)are met <br /> No signature obtained/COVID-19 <br /> Report typed at the office 3:50-4:10pm <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/Daniel Morales, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0083257 SC523 03/16/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />