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rlo'; <br /> SA N�10A 0 U I N Environmental Health Department <br /> COUNTY <br /> qP <br /> �,Foa Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> t <br /> ADDRESS: CITY: ZIP CODE: <br /> I'7 C-1 T T 9610,11 <br /> OWNER/OPERATOR: TELEPHONE#: <br /> F — <br /> TYPE OF INSPECTION: J-COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: ID*: <br /> NATURE OF COMPLAINT/CONSULTATION: IWV <br /> OBSERVATIONS/COMMENTS: I ) 11J,10 - <br /> MC CLE7 <br /> t?Acl Fic Avu, . f LlracicroNt iz A L,3r MAIL <br /> I - - - - - r- <br /> T c <br /> , °tz Ic A — P s . , Arc - <br /> CORRECTIVE ACTIONS: ^. H <br /> t <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 />