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SAN JOAQUIN <br />COUNTY— <br />Greatness grows ' -- <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />ADDRESS: <br />I '), I L ( YU / v� t Ilii' <br />CITY: 1 <br />Loi <br />ZIP CODE' _ <br />"L % <br />OWNER/OPERATOR: <br />j ui U4 <br />TELEPHONE #- ra k _ / °13`1 <br />TYPE OF INSPECTION: ❑ COMPLAINT §LCONSULTATI <br />N ❑ OTHER <br />PROGRAM <br />ELEMENT: G��.1 <br />RECORD <br />ID#: v <br />NATURE OF GeMP- "T/CONSULTATION: <br />L/ ff7 f-,tf� <br />�C,� <br />ZpJ 2O <br />OBSERVATIONS/COMMENTS: <br />r,o'� (:0 ati IL D <br />011,C a <br />Cwt- '✓� U <br />IL <br />X 12mtok <br />- <br />�v' �a It <br />Dry <br />CORRECTIVE ACTIONS: <br />—1Z <br />d -dr <br />" - L> ' <br />C <br />_VL a- <br />w; <br />2f <br />t�✓� <br />w <br />v <br />CORRECT BY: to 1' <br />INSPECTED BY: / 4 <br />RECEIVED BY: kyNxll fv •-(�7`��A i�Ju�� Cam 'L -Lt- <br />13 q 14 4111115 <br />DATE: <br />EHD 48-05 Rev. 10/26/2017 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 />