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Q S A N X10 A Q U I N <br />COUNTY <br />cq;P Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />ADDRESS:c 5�1 � e ` c <br />1 <br />CITY: <br />ZIP CODE: q , 2,3 1 <br />t <br />OWNER/OPERATOR: <br />TEL PHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT ACONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: <br />RECORD <br />ID#: 6 <br />NATURE OF COMPLAIN ONSULTATION.- <br />F1 G v .. <br />OBSERVATIONS/COMMENTS: <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: q <br />In 12-2- u &-u <br />DATE: p �� <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 />