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oPauiN c <br /> ' SANQ�JOA U IN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: i,n I rn I I ( �(� /� DATE:`' i1cT <br /> ADDR S I ZIP CODE:0FW4 <br /> > I <br /> OWNER/OPERATOR: I VI G` �' V�I lam' <br /> a 1 1 { LEPHONE#: <br /> TYPE OF INSPECTION: K COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM RECORD +/y5 <br /> ELEMENT: Z ID#: I(�Ii <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> nM -en r Q a Lin a rro w a <br /> s <br /> OBSERVATIONS/COMMENTS: <br /> ro J v <br /> nCJI, r <br /> - r 11 OW(A r1l OW n <br /> Ifm Um i RJZ n <br /> CORRECTIVE ACTIONS: <br /> a <br /> O <br /> CORRECT BY: <br /> INSPECTED BY: A <br /> W M(V-,,K <br /> RECEIVED BY: I DATE: <br /> ma <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />