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... . San Joaquin County <br /> )O. .QOG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. �a• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: COSTCO WHOLESALE#658, 3250 W GRANT LINE RD,TRACY 95377 <br /> Sanitizer bucket-200-300ppm quat <br /> D/W-160F <br /> *Provide full sneeze guards that protect samples from all sides. <br /> *Over flowing mushrooms over the prep table. Correct today. <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: Robert,Assistant Manager <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0014131 PRO518777 SCO01 04/20/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />