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PaU'" SAN,oJ0AQUIN p <br /> Environmental Health Department <br /> - <br /> -couNTV <br /> Greatness grows here. <br /> �IFOR <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: L <br /> ADDRESS: 'i) / .� CITY:CC ZIP CODE: S 3w <br /> OWNER/OPERATOR: r I ^ Z I TELEPHONE#: <br /> � (ol <br /> TYPE OF INSPECTION: ❑ COMPLAINT ONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: L) y ID#: -S few D O I <br /> NATURE OF COMPLAINT/CONSULTATION: / (7.e 14 iJJ O l--kA <br /> OBSERVATIONS/COMMENTS: <br /> — S.vt za u W. G S o e-� <br /> o -eC O K <br /> -5� <br /> Q O <br /> �- a I I� C-N Dl�1 ->�3 L.- 7 <br /> C P Lei�O -®O y( <br /> VW19 04t, <br /> ��2C r lS <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: ` f V DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />