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SAN 10AQUIN <br />COUNTY <br />Greatness grows <br />,Q - <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: 3 /Z ' �a <br />ADDRESS: <br />CIT Y�- <br />ZIP CODE: <br />OWNER/OPERATOR: <br />l h�- � i <br />TELEPHONE #: <br />r c'+ <br />Lv q ) <br />TYPE OF INSPECTION: ❑ COMPLAINT C CCONSULTATION ❑ OTHER <br />PROGRAM l <br />ELEMENT: <br />RECORD <br />ID#: Sr 19i1j� <br />NATURE OF COMPLAINT/CONSULTATION: <br />To Z -,c , , WL v <br />l L l <br />Gc J, Iti L (V-A 15 1 <br />OBSERVATIONS/COMMENTS: <br />j p <br />�` i r -P/I✓• S (.J all -C. C �c ` 1 IM K -C r d <br />-C <br />I IM.1_ G 1 1 <br />�. <br />� , <br />CORRECTIVE ACTIONS: <br />JvLc� L� .v <br />CORRECT BY: <br />I <br />INSPECTED BY: r A, <br />RECEIVED BY: <br />DATE: <br />EHD 48-05 Rev. 10/26/2017 <br />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 />