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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: TRACY BABE RURTH,4901 N TRACY BLVD , TRACY 95304 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 135°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Kenmore--39.00°F restroom hand sinks--100.00°F <br /> mop sink--137.00°F <br /> NOTES <br /> quat sanitizer is available/test strips are needed <br /> OK to permit as a 1632 <br /> No signature obtained <br /> Report typed up in the office 4:27p-4:37p <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/Ponch Martinez,Tracy B <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0025140 SR0085016 SC061 03/17/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />