Laserfiche WebLink
PaU,N <br /> r°`mac° SAN 1J OAQ U I N Environmental Health Department <br /> Q <br /> --- COUNTY <br /> q�1Faa� Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: �/I /r' DATE: /� ' n <br /> ADDRESS: I/ i ITY: � O ZIP CODE: S J3 O <br /> OWNER/OPERATOR: I i Q I '5%n TELEPHONE-i�R-5�I/A00 <br /> TYPE OF INSPECTION: COMPLAI {�❑ CONSULT ION ❑ OTHER PROGRAM RECORD �j <br /> ELEMENT: �� ID#: Co OD5133 <br /> NATURE OF COMPLAINT/CONSULTATION: y�1 /ej seyn - 4,, l 5 <br /> c c �oce� n a <br /> un kmow <br /> i &-Y,- c <br /> OBSERVATIONS/COMMENTS: Eeld Q Z <br /> S `o % e cv✓ <br /> C Py-/i o r 646C41' <br /> a S ; no Ise <br /> 6i L4 /?PC o <br /> s — a' a�eyz <br /> d ' i a--y Ca- <br /> yl o o2l, e w , <br /> CORRECTIVE ACTIONS: /roe e <br /> CORRECT BY: IVIA <br /> INSPECTED BY: "-Dny-i o,— a— <br /> RECEIVED BY: Sem d DATE: 2/2- <br /> / <br /> ����e <br /> EHD 48-05 Rev. 10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />