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FACILITY NAME/TYPE: S DATE ...,./2„.._5/ rz_ <br />CITY: ADDRESS: ZIP CODE: 52_06 <br />lA NATURE OF COMPLAINT/CONSULTATION: le„---; <br />iL <br />INSPECTED BY: 4e,rskoL, <br />Web j6t <br />TYPE OF INSPECTION: 1:1 COMPLAINT CONSULTATION U OTHER <br />TELEPHONE • OWNER/OPERATOR:4 r _ <br />RECORD <br />1p#: 6-?(:),:yg -3055 PROGRAM I <br />ELEMENT: t , <br />OBSERVATIONS/COMMENTS: 6 vkie. c-/- A, a_y__ oomer —het 6-y4,6 <br />(ikko- 1/10 <br />C ( <br />(A-5, <br />(2; pi 'or /1/2 lif) (Aft—C ; -1-4ve, 6,47Q_ -741,td , 9 <br />((x-ere._ c,ortv-t-.k-k t ,o)d <br />I k <br />`ft 6 <br />CORRECTIVE ACTIONS: TytAoL l ) Cl e414/-7 0 14-5 4frt_ Cie cl - <br />CORRECT CORRECT BY: 1 A7,2016 <br />RECEIVED BY: DATE: <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />SANAOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL 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