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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> f�■z�w� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: , 3379 N TRACY BLVD ,TRACY <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 12 door walk-in cooelr -37.00°F Vendo merchandiser--37.00°F <br /> 2 door walk-in freezer- 13.00°F <br /> NOTES <br /> Pre-final inspection at request of Leonard Luna, Superintendent JM Stitt Construction Inc. <br /> Facility lacks gas/most refrigeration is not on at inspection this date <br /> OK to permit has not been issued this date(OK to stock shelving with non-potentially hazardous foods). <br /> A final inspection is required. Call inspector to schedule 209-616-3025 <br /> No signature obtained <br /> Report typed in the office 4:24p-4:43p <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/Leonard Luna,JM Stitt <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0083774 SC523 03/13/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Food Program Service Request Inspection Report <br />