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c SANa�10AQUIN p <br /> .° Environmental Health Department <br /> COUNTY <br /> °qtJ ° Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: -111-71.202-0 <br /> 1 J 1-71.2O Lli <br /> 0 <br /> ADDRESS: -I V Y11�r1 CITY: ZIP CODE: r <br /> OWNER/OPERATOR: I-)�t�����' TELEPHONE#: <br /> TYPE OF INSPECTION: El COMPLAINT lam' 1 CONSULTATION ❑ OTHER PROGRAM RECORD`. h <br /> ELEMENT: ID#: J 0 D 8 r / <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> V1 l <br /> �`r airL t I I ly6 WV rc i ger <br /> ,,J ` ' <br /> �Y11, 'r GI S e� CN V <br /> OBSERVATIONS/COMMENTS: <br /> Gl M +em 6uiS1cte nuc, <br /> hocy\z <br /> -Coo Y_ <br /> 0 S�cl� <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: IL L <br /> RECEIVED BY: Mia n i-b SiVn I�gV `�" ��rCjC� 67T DATE: <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 />