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z PnU'" z SA p <br /> °mac° Environmental Health Department <br /> COUNTY <br /> cg1P Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: - 2 F <br /> 7 7 O <br /> ADDRESS: j CITY: ZIP COD <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM r RECORD <br /> ELEMENT: L3�� ID#: P/2Gr�U� <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> r <br /> bpwa4 &22 <br /> �. 1� 1 � c�i2Q�•�s <br /> .r ri &- Ile Z9Y/ <br /> fiux s. <br /> o av Yomr O - ' <br /> CORRECTIVE ACTIONS: <br /> .� e - <br /> CORRECT BY: <br /> INSPECTED BY: ' (-ZG 34140 <br /> RECEIVED BY: / ,q �J � DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />