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SANAOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: / Z-35" 1 1 ,: 1„ctr-i* <br />DATE3 I q . ".0. j <br />ADDRESS: I A) a W 1 l 5/ OITY: 0 cx j <br />ZIP CODE: <br />OWNER/OPERA R: TELEPHONE #: <br />TYPE OF INSPECTIONQMPLAINT U CONSULTATION 0 OTHER PROGRAM 2 <br />ELEMENT: RIDE #77 6 53-1TE <br />NATURE OF COMPLAINT/CONSULTATION: . <br />c,,-e__-, - duAkup-ed_,-1,,--,,, 5--/-601A c A r)k._ _P--km <br />.-- coActe)c- m Hp. 1 c( t. k,,,,,_-4- /so .s-bt&.,X , <br />-(' ff ils am / e ii n / 0 l i - z <br />x) <br />I , oti <br />144.1d/yl‘e fit° b(.( <br />p <br />V....c114(.127i& <br /> 1 • <br />( <br />OBSERVATIONS/COMMENTS: <br />(0 <br />AA /1/1 ( <br />.1--„,seatac-6eS2.-„ <br />a <br />co . 4Q9ct 7-7 (-7-71 <br />• <br />dui'll/I' ....c01k- <br />11\4._ i&SFO-C ( ---P\6:Q- titikere:214---0 - <br />CORRECTIVE ACTIONS: <br />',K---i ryi •ci4X No , 4„-- op (2=-1( _ L. <br />C :::--ey° r:t_S_c-,0 /4, , .# • <br />/14.0 ,e.,,t-i--rw <br />1,jI 1-1-1, 14,-.1.& Q___, <br />• <br />CORRECT BY: , <br />INSPECTED BY: - <br />RECEIVED BY: DATE: .. Sc, <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com