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'll <br /> SANAOULA <br /> Evironen Health Department <br /> COUNTY <br /> ct.;o�a' Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> 1,0 aA <br /> ADDRESS: j CITY: C ZIP CODE: <br /> OWNER/OPERATOR: ( TELEPHONE#' <br /> 3 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION L3THER PROGRAM RECORD <br /> ELEMENT: ID#: PKb S92. 1 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> t if IV SPC-6-7� � ILA-AJ t-UgE <br /> OBSERVATIONS/COMMENTS: <br /> n- <br /> Spodj—e -TTASIA-Tab Q11) AJ67 <br /> T JlAa iv AjA5-�' .a <br /> L'f ,LATT. r) H# f <br /> 60695'. L—T-0T <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: /n/ <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 />