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°` "Ij � SAN�JOAQUIN a <br /> �= Z <br /> Environmental Health Department <br /> " L, {i COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: � � � ��� DATE: <br /> ADDRESS: n I 'A / y.� CITY: O C ZIP CODE: <br /> OWNER/OPERATOR: D V t -� TELEPHONE#: <br /> r4-4- AcZ tA_ <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION { OTHER PROGRAM /� RECORD <br /> ELEMENT: a, ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> ( W <br /> ANN <br /> OBSERVATIONS/COMMENTS: <br /> e- <br /> r' ✓ <br /> fA <br /> Lj <br /> CORRECTIVE ACTIONS: <br /> � r <br /> 12 1A <br /> CORRECT BY: <br /> INSPECTED BY: /. <br /> RECEIVED BY: DATE: <br /> 1 �1 Ql 1114 <br /> 1 <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />