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SANAOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAMETTYPE:1 A <br />k.A.k& <br />DATE: <br />ADDRESS: <br />t 53 tnAAA,LL 1-0-V"It <br />CITY: <br />5 -it, L t, / <br />ZIP CQDE: <br />OWNER/OPERATOR: fr:-, -, - WtOrcat 5 <br />TELEpToNk#:1{ <br />TYPE OF INSPECTION: "COMPLAINT 0 CONSULTATION 0 OTHER PROGRAM , <br />ELEMENT: A I .,.,' L.) <br />RECORy _ <br />ID#: CV tyc> 5-1.111,..L <br />NATURE OF COMPLAINT/CONSULTATION: <br />' IA) -Ck-tAvi, & \ ,t-N A-0 (A/1,- Nr-G1*41 co ,1 '‘..-14--ik • <br />OBSERVATIONS/COMMENTS: <br />5 Ali, ‘) ,,-;A.-- 1---A.v-eskt, ( 's.) 5.Att,lOr Ol. 11/414.4.4. CO t4-5.k-C4-4-dr-611.\ <br />q_ x C-Llv k-t (.. Si kILIAA/1 11\A-tjtc-- i: $ km- CDU-V, (AIA 6A4r iii,Q,ctaAA- v <br />\) WO' ()___a_le A (>1;3 1( ty..V\-- C)c2A,INtl OW tf\JAC 5 CPA- D CLAAILd <br />-r, <br />CORRECTIVE ACTIONS: <br />1,4•;(./. <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: 7 e <br />0/14'11% <br />DATE: 2 ___ (0., 2_ ( <br />EHD 48-05 Rev. 10/26/2017 <br /> Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 www.sicehd.com