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°PQ <br /> aU'"c SANtJOAUIN <br /> $0 .� Environmental Health Department <br /> COUNTY <br /> cq ;Fca��4 Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE:Jtl 312-0 <br /> ADDRESS: 6l 1CITY: ZIP CODE: <br /> WNE PERATOR: �S& TELEPHONE#: <br /> TYPE OF INSPECTION: El COMPLAINT CONSULTATION Ell OTHER PROGRAM f� n RECORD TT C� <br /> ELEMENT: [2� ` ID#: SP-u U 113 <br /> NATURE OF COMPLAINT/CONSULTATION: ,y� <br /> �� m^ <br /> - uh <br /> 'G <br /> OBSERVATIONS/COMMENTS: <br /> Cr Lit u z , <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: 'jam q j3p[1 DATE: IZ$ I <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />