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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> -eatness gro - here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: (,I 1�Q /.I CITY: tj ZIP CODE: 9!5,_L <br /> OWNER/OPERATOR: b(AV' TELEPHONE#: <br /> TYPE OF INSPECTION: COMPLAINT ❑/CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: 13 ID#: C0 (9 0 52,61• <br /> NATURE OF COMPLAINT/CONSULTATION: �CC It <br /> OBSERVATIONS/COMMENTS: _ <br /> OVkd C <br /> CORRECTIVE ACTIONS: p��Q <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: <6 p /„ /Q� e ( /„„� DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />