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SAN JOAQUIN <br />COUNTY <br />greatness grows L=_ <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />itc-(az— <br />ADDRESS: <br />�i. <br />CITY: <br />ZIP CODE: <br />OWNER/OPERATOR: 1 <br />TELEPHONE #: S / <br />TYPE OF INSPECTION: ❑ COMPLAINT 'WCON§bLTATION ❑ OTHER <br />PROGRAM <br />ELEMENT:, L. <br />RECORD _ <br />ID#: jZ �R sJl v <br />�v <br />NATURE OF COMPLAINT/CONSULTATION: <br />z ( k <br />4A40 C� 0 � <br />OBSERVATIONS/COMMENTS: <br />\ <br />,( L <br />j <br />1L T VZ <br />tuwl <br />c <br />- , : T'i u N 1 <br />l OWw VC— <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: <br />EHD 48-05 Rev. 10/26/2017 1 v �11 <br />J Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />