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U S A NA AM Envi ronment#Health Department <br /> c <br /> COUNTY <br /> gc�Foa� Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE'. <br /> gl �/� <br /> ADDRESS: CITY: ZIP CODE: <br /> OWNER/OPERATOR' TELEPHONE#: <br /> 1 - 6 1 Lv A, 1 .7U9 - --719 7 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> C <br /> OBSERVATIONS/COMMENTS: <br /> AGI CA <br /> F► "I• ' L <br /> i C114T <br /> - FLI - o <br /> : L <br /> CORRECTIVE ACTIONS: <br /> --(J7 <br /> CORRECT BY: I4 <br /> INSPECTED BY: <br /> RECEIVED BY: 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 />