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S A N sd 0 A QU I N Environmental Health Department <br /> COUNTY <br /> i <br /> Fba�`P Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: T LDATE: <br /> V�.ca�NciT 345/19 <br /> ADDRESS: CITY: ZIP CODE: <br /> J7.-')O .i �l5: l <br /> OWNER/OPERATOR: TELEPHONE#: <br /> T <br /> PQ i LL <br /> TYPE OF INSPECTION:;6-COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: ID#: C O QC)q 0 0 0L' <br /> NATURE OF COMPLAINT/CONSULTATION: C n• l <br /> 1• <br /> OBSERVATIONS/COMMENTS: ONF _ <br /> C E. <br /> p c <br /> A <br /> TZ AITTAIC-1-11 1? <br /> 1( ATirkT-i_ -Lint C <br /> F0LiKir), inKILtKjF_: AMI) - - lk <br /> CORRECTIVE ACTIONS: o `P <br /> 1z t 14 1 e. <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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />