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SANAOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />eori76-- La‘,040/ei, _ L. e c <br />DATE: <br />ADDRESS: „, <br />,4r re70 ,....ii rie,"7,1e 24 <br />CITY: z..„ .49€---r-le.--- <br />ZIP CODE: <br />9532-0 <br />OWNER/OpfRATOF: TELEPHONE #: <br />TYPE OF INSPECTION: 6 COMPLAINT 0 CONSULTATION CI OTHER PROGRAM <br />ELEMENT: per ) <br />RECORD <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: "r5 'hie 5e1A-13—e- Ace* c-//9 it "ei/ • <br />OBSERVATIONS/COMMENTS: agoved (sect...41w ,-)0e. egswrj----AMP, -tee /2/0 025.-- <br />,e),,;-,,-. 4.0.i ."7.‘ edd-r. fr y ,' --tAr6-,e_ e4e-4,--otd. . <br />CORRECTIVE ACTIONS: e.1 ,t; or//t40....-gr7 SeitAge,5 so' A/11-C '1‘,1---- Rti .7,41 ,v toitrie <br />4S*Iff_ f :34etc A 6713(plf,,,,tdre-ieit: Q e7e- ,n,-2..r.ef. _ /9.D1/ <br />04%`// 0 AD tei - 74zioui al) . e, 1,..)-A-41( • t e--• ,`!. <br />CORRECT BY: <br />INSPECTED BY: , p <br />RECEIVED BY: ---3;zt. DATE: <br />tb/4/21 <br />EH D 48-05 Rev. 10/26/2017 <br /> 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