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S A NA O A Q U I N Environmental Health Department <br /> �o•`�'`•coc <br /> Q' <br /> COUNTY <br /> ` P <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEMPE: DATE: <br /> ADDRESS: [tv� �� N , CITY:` ZIP CODE. <br /> 1 J TELEPHONE#: bM _ 2� <br /> TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATION LlOTHER r PROGRAM RECORD ��rl <br /> ELEMENT: Z ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> �S <br /> OBSERVATIONS/COMMENTS: <br /> U <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: A DATE � 2- 0 <br /> Ik'x C'i tea• v . CC'),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 />