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COMPLIANCE INFO_2011-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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1600 - Food Program
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PR0508406
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COMPLIANCE INFO_2011-2019
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Entry Properties
Last modified
10/29/2020 4:05:23 PM
Creation date
7/16/2019 3:00:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0508406
PE
1613
FACILITY_ID
FA0008057
FACILITY_NAME
TRACY TRUCK AND AUTO STOP
STREET_NUMBER
3940
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21220004
CURRENT_STATUS
01
SITE_LOCATION
3940 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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f'URNS* <br /> �v0 Service Report <br /> CIL'i <br /> ' ORDER#: 24273032 <br /> Vi PEST C O. UKAL&V V1DRK DATE:6/17/19 <br /> Time In: 6117119 9:59 AM <br /> -TO 1869316 LOCATION 1869316 Time Out: 6/17119 11:07 AM <br /> Tracy Truck Stop customer signature <br /> Davinder Jutla Tracy Truck Stop <br /> 3940 N Tracy Blvd 3940 N Tracy Blvd <br /> Tracy,CA 95304-1516 Tracy,CA 95304-1516 <br /> Customer Unavailable to Sign <br /> Phone: - 32-5006 Phone: 209-832-5006 Technician signature <br /> Dwight Alexander <br /> License it: CA-Ri39378 <br /> Purchase Order Terms Service Description Quantity Amount <br /> None DUE kLCEIPI Pest Away Sernce 1.00 140.00 <br /> subtotal 140.00 <br /> Tax 0,00 <br /> Total 140.00 <br /> Prior Balance: 220.00 <br /> Total Due: 360.00 <br /> GENERAL COMMENTS/ INSTRUCTIONS <br /> Today's service I inspected all interior traps heavy mice activity.Removed mice and replaced glue boards where needed.Also spot treated exterior perimeter for spiders,and <br /> other door yard pest.Ceiling area in back room needs rodent exclusion work done.Thank you <br /> CONDITIONS/ OBSERVATIONS Reported Severity Responsibility Reviewed <br /> Open <br /> Interior 5171/2015 High Client 6/17/2019 <br /> Condition: Floor drain Dirty <br /> Action: Clean drains <br /> Comment: <br /> Interior 9/23/201b High Client 6/17/2019 <br /> Condition: Gaps under doors S..uth Entry <br /> Action: Repair threshold <br /> Comment: <br /> DVi� APPLICATIONSUMMARY Ive <br /> ate► . ot# E A# A.I. /o A.I.Conc. Act Ingredient Finished Qty UndilutedQty ty <br /> Glueboard Insect Light Trap n/a 0.0000% n/a n/a 1.0000 Each <br /> Areas Applied: Flylighl <br /> Target Pests: Flies <br /> 5 <br /> a <br /> i Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undilute Qty <br /> Glueboard Monitor n;a 0.00000ri n/a n/d 5.0000 Each <br /> Areas Applied: Interior / <br /> Target Pests: (Nurse) <br /> Material Lot# EPA# A.I.% A.I.Cone. Active Ingredient Finished Qty Undiluted Qty <br /> Glueboard Multi-Catch n/a 0.00000/. n/a n/a r 10.0000 Each <br /> Areas Applied: Interior <br /> Target Pests: Mice <br /> Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted Qty <br /> 02, li,-i Ok, <br /> Pagel 113 <br /> Printed:6/17/19 <br />
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