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Y' SAN .JOAQUIN <br />COUNTY <br />Greatness grows <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: Cr I q Z� <br />ADDRESS: G <br />CITY: <br />ZIP CODE: _ <br />�L) <br />OWNER/OPERATOR: <br />TELEPHONE#: t <br />OI <br />TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATION ❑ OTHER <br />FIRROGRAM <br />ELEMENT: <br />RECORD c� <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />C)'W Ct G� L Vic J v-' - '! <br />OBSERVATIONS/COMMENTS: <br />r Uu <br />. t v, , L d 1NM <br />CORRECTIVE ACTIONS: <br />1(V ;,- <br />CORRECT BY: <br />INSPECTED BY:A -7 <br />RECEIVED BY: ru�`d,� L (tf Lvi� 5 (u. WY` �� i (Jl`>`a <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 />