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SANOAQU I N Environmental Health Department <br />COUNTY IY <br />GrtoWSS grow$ here, <br />Food Program Service Request Inspection Report <br />Facility Name and Address: TRACY QUICKLY TEA CAFE, 2251 W GRANT LINE RD, TRACY 95377 <br />NOTES <br />OK to permit as a 1623 once annual permit fee is paid ($350) <br />Return to 1868 E Hazelton Ave. in Stockton to pay permit fee prior to opening <br />Effective May 1, 2019 <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: Lilibeth Gampon, owner <br />EH Specialist: KADEANNE LINHARES <br />Phone: (209) 468-0330 <br />FA0018121 SR0080437 SC061 04/19/2019 <br />EHD 16-23 Rev. 06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />