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° c°2 S Q N A 0 Q Q N Environmental Health Department <br /> I_: u r� <br /> Greotness crows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: :5dkl 0?/.56 1A1 DATE: <br /> ADDRESS: �-. pO I r1 �pf ) CITY:`A I iq�t� � ZIP CODE: �� c Q i <br /> OWNER/OPERATOR: (3 i# -5u 1fj`uV/-7 TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATION L] OTHER PROGRAM RECORD <br /> ELEMENT: y( L IDk: <br /> NATURE OF COMPLAINT/CONSULTATION: C-o i sa I I afi► /) 4o V -rirO edfi4 0 C' <br /> ! `ill o IrP���►r?.!"lgh� - <br /> OBSERVATIONS/COM,MENTS: <br /> - r <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATg <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />