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SAKsJOAQUIN <br />COUNTY <br />gc�Foa� Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: Z 0 <br />Zy <br />DATE: <br />ADDRESS:\ <br />CITY: �a / <br />(TELEPHONE <br />ZIP CODE: <br />OWNER/OPERATOR: ^ <br />/ �� <br />#: <br />TYPE OF INSPECTION: ❑ COMPLAINT <br />CONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: <br />RECORD • <br />ID#: S [� VX <br />NATURE OF COMPLAINT/CONSULTATION: <br />� / r <br />it <br />JA a- 0 <br />6142 <br />OBSERVATIONS/COMMENTS: <br />r41 <br />ro <br />C-0 OE wig 1z <br />1,2 E <br />QAC / <br />T ' <br />G <br />o Ve <br />2 <br />s A0 L4- <br />l d� <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />/�/1 ��� <br />RECEIVED BY: <br />DATE: <br />— — 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 />