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SANAOAQUIN <br />COUNTY <br />cgG/FOFR��P Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE-.DATE: <br />-1, 11-2— <br />2—ADDRESS: <br />ADDRESS:� � <br />CITY: <br />� <br />ZIP CODE: <br />�,L 0 <br />OWNERIOPERATOR: <br />TELEPHONE #: 1� `f 73- <br />TYPE OF INSPECTION: LICOMPLAINT NSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: <br />REc RD <br />NATURE OF COMPLAINT/CONSULTATION: <br />C <br />�@ �T <br />OBSERVATIONS/COMMENTS: <br />VA_ . <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />JIAII(A <br />DATE: <br />FA <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />