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SAN�DAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: � <br />;� 0�,� I w1 <br />C,� ovYl� <br />DATE: <br />� `Zo �Z�2� <br />ADDRESS: ^ �� � � �/�� r <br />` "`I�� <br />� .�, 1 <br />CITY: C �a G I / /J� <br />J `- <br />ZIP <br />CODE: � � <br />�� <br />OWNER/OPERATOR: In �. I � i �� <br />V❑1 � S <br />P � WI C �� <br />TELEPHONE #: <br />TYPE OF INSPECTION: COMPLAINT" CONSULTATION ❑OTHER <br />PROGRAM �� nn <br />ELEMENT: � oL(.l� <br />RECORD <br />ID#: SQ Q Q � <br />1_ <br />a '3 <br />NATURE OF COMPLAINT/CONSULTATION: �j � �2 Cy. � S <br />Q� <br />'S G Lt �- Gtn (�/� r� .. <br />OBSERVATIONS/COMMENTS: ] Z ' <br />{� � � -pyt/1 VVl t�rr� VES <br />� <br />✓L � <br />� t t/l A <br />�_ �/ S <br />- H <br />Sc, w� <br />�m , <br />i ' r1. S� � c�-- <br />� ' �� r � <br />//^ N�w <br />�• � R <br />t� I.r � � <br />� l vi -� � b� S <br />o � e � c. <br />� t�1� <br />(/�/� f v <br />�� l RS O 1� N i s1 � <br />O f/JLf <br />II <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />�i <br />DATE: �� <br />�� �� <br />_./ <br />EHD 48-05 Rev. 10/26/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 <br />Inspection Report <br />T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />