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OpaGrN c <br /> SAN of QA(1 U N Environmental Health Department <br /> COUNTY <br /> gL,Fo�,a� Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> rx_� S PcL Z (\ o "Z \ <br /> ADDRESS: CITY: ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT U CONSULTATION LI OTHER PROGRAM RECORD <br /> ELEMENT: �(,�© ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> e - \- <br /> - V V <br /> OBSERVATIONS/COMMENTS: <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: � � F <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1 RPS F Na79ltnn L1�iteni ip I C}nrktnn C'aIifnrn4P qRX)r, I T onq 4r;R_'l49n I F 9n4 4n4-n1 iR I �,y�yi girahri r nm <br />