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SA Nsd OAQ U I N Environmental Health Department <br /> Q� <br /> COUNTY <br /> .cP <br /> gt�Foa Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: � �� DATE: 10/109 O/I09 <br /> ADDRESS: �O 1 _ / I CITY: M 1 / n ZIP CODE: 9:5 2 -� <br /> OWNER/OPERATOR: ; TELEPHONE#: 3Z <br /> TYPE OF INSPECTION: ❑ COMPLAINT a CONSULTATION ❑ OTHER PROGRAM RECORD �17'J <br /> ELEMENT: 3 O O ID#: S�2©O g LIS <br /> NATURE OF COMPLAINT/CONSULTATION: coy)-C' a UWLM , /Q <br /> OBSERVATIONS/COMMENTS: <br /> I k <br /> w <br /> S <br /> Y <br /> Q <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: � � DATE: <br /> EHD 48-05 Rev. 10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />