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u'� .Z S A N sJ O A QU I N Environmental Health Department <br /> ' COUNTY <br /> °gtiFoa�'`P Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACT TY NAME/TYPE: DATE: <br /> �' '� D✓ t& <br /> AD ESS: CITY' ZIP CODE: <br /> OW R RATOR: (�` v „ ! TELEPHON51 <br /> TYPE OF INSPECTION COMPLAI T ❑ CONSULTATION ❑ OTHERPROGRAM RECORD <br /> ELEMENT: ID#: / <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> Nj <br /> vl, cvov cf <br /> C G41 <br /> OBSERVATIONS/COMMENTS: <br /> Aj USe- <br /> �cEC. i i e NcG-(—c L <br /> Lam- v t i <br /> 7 <br /> D L <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: 'Q�, <br /> RECEIVED BY: � DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />