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PaulN ti SA Nsd DA QU I N Environmental Health Department <br /> �o: .roG <br /> COU NTY-- <br /> q6. Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: 25 <br /> L i <br /> ADDRESS: f--��1 �r (,C� CITY: e ZIP CODE: <br /> o <br /> 1, rR'] 1„ � 4. '� 5 2 <br /> OWNER/OPERATOR: 1 Keer TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATION LJ OTHER PROGRAM �1 RECORD J <br /> ELEMENT: ZV� ID#: 51)0 . -6 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> rv7, u vin ( 0 i IO u <br /> 5 nn ir� <br /> 0. vt v' w� c. n L . <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: MAA y-a 'bc,\ k5 <br /> RECEIVED BY: DATE: n!`.-�� <br /> �\ (�V �V <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />