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SANs10A UIN p <br /> �-- -�� Q Environmental Health Department <br /> z` Z o <br /> COUNTY <br /> gtiFoa? Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: ` ;'�� � ' V �V�1'' �( / (� '` 11��1 K <br /> (j�l DATE: <br /> ,r <br /> ADDRESS: j 1 �Y , CITY: (IMYA ZIP CODE: <br /> OWNER/OPERATOR: r (�, A 1 1 TELEPHONE#: <br /> AV, <br /> TYPE OF INSPECTION: ❑ COMPLAINT S,CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: t <br /> 11 S 1 . <br /> OBSERVATIONS/COMMENTS: <br /> 0 <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 />