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¢U,N VAI,o�JOAQUIN <br /> Environmental Health Department <br /> r"J --COUNTY <br /> qP Greatnessg rows here. <br /> LlFOR. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: !DAETE:( ��C v ��VA CITY: ODE: <br /> ADDRESS: ++ + J + U <br /> �• �i 1. L <br /> TELEPHONE#: <br /> OWNER/OPERATOR: � -53I—(v <br /> � oSCOa c chc � ' <br /> LS <br /> TYPE OF INSPECTION: ❑ COMPLAINT jk CONSULTATION ❑ OTHER PROGRAM RECORD (� / '/� L_/) <br /> ELEMENT: LAA <br /> l _ _ ID#: 51-V o 2 ,)v <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> 1' - i oo D V1\- L <br /> OBSERVATIONS/COMMENTS: <br /> i <br /> n ►r n 1 <br /> 3 <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: v /A <br /> RECEIVED BY: 1 ' DATE: <br /> EHD 48-05 Rev. 10/26/2017 Inspection Repcit <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />