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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> r�■■z�ti� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TRACY BLVD CHEVRON, 3775 TRACY BLVD ,TRACY 95376 <br /> quat sanitizer and test strips are available <br /> OK to permit as a 1618 once the annual permit fee is paid ($287) <br /> No signature obtained <br /> Report typed in the office 11-15-22 1:56p-2:04p <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/Hasan Mohamad, Sr Ar <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003058 SR0086019 SC061 11/14/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />