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�o.,�..��co <br /> .� SA Nsd 0A QU I N Environmental Health Department <br /> COUNTY <br /> a�,FaR. Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILI NAME/TYPE- DATE: <br /> ADDRESS: ,7z5 CI O� <br /> �.� ( Lam,(�-> > ZIP� <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION;.-�OMPLAINT ❑ CONSULTATION ❑ OTHERPROGRAM RECORD <br /> ELEMENT: ; ID#: �;e7(0Stq K <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> a t in K <br /> t r <br /> OBSERVATIONS/COMMENTS: <br /> 9 , <br /> I <br /> t <br /> CORRECTIVE ACTIONS: <br /> t,r k a "1 I'fl►`1 1 �a <br /> 1.jilt be- t <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE:Z�/ <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 />