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10 <br /> 2i° �rkccZ SAROAQUIN Environmental Health Department <br /> ..Q <br /> COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: 2--7q <br /> 10D <br /> C ai� p DT + CITY: TrQ Pip-� <br /> E: <br /> OWNER/OPERATOR: J 1/ l TELEPHONE#: <br /> TYPE OF INSPECTION: COMPLAINT LJCONSULTATION ❑ OTHER PROGRAM 11100 <br /> � '� RECORDCO <br /> ELEMENT. 1 V 0 ID#: CUO l V�SJ <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> eA'yA At DYV b- s <br /> OBSERVATIONS/COMMENTS: <br /> -�Wc�-S opyMlr S v In <br /> ILlu or Y 'Jo56 wck o r Ectopy, on Ow <br /> oi L i t <br /> Row, ul tr -hr Lickc-S c v e ov <br /> ovr <br /> �ar�_ 4A Qs� <br /> rI <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY. V V V V DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />