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pU4y - <br /> _'° c°�ti S A N sd 0 A QU I N Environmental Health Department <br /> { COUNTY <br /> c� rroa�%e Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: S F e' DATE: <br /> '\ 10 11 -3 <br /> ADDRESS: ��' I \L't h C O I r CITY: /I/l n L� _ ZIP CO E:9 33 <br /> OWNER/OPERATOR: na c.� 1 n4 /Lt TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ( C NSULTATION ❑ OTHER PROGRAM (� (� RECORD / <br /> ELEMENT. ( i-� ID#: S O�( ��� <br /> NATURE OF COMPLAINT/CONSULTATION: C/y( fy C0 YI YI e— 7"'Ivy, Lo <br /> 2 <br /> OBSERVATIONS/COMMENTS: op ok7 re C <br /> ga <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <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 />