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SAN 10AQUIN <br />COUNTY <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE1p J lt Zz <br />ADDRESS: � <br />CITY: <br />Wim" <br />ZIP D; , <br />"t <br />OWNER/OPERATOR: I f g rw6w Lz <br />TELEPHONE #: <br />TYPE OF INSPECTION: LlCOMPLAINT - CONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: <br />RECORD <br />ID#: �� > <br />NATURE OF COMPLAINT/CONSULTATION: <br />OBSERVATIONS/COMMENTS: <br />.. /� lU' f cwVl& wa <br />,pow, &�c o <br />�vv-��5.tN �k-� ,k <br />a <br />r%NcL l u <br />OL-�L 6 <br />\ q'w 4- <br />I S �-<-A- j-ar'L- <br />-� <br />a-d� rt � <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />41 <br />INSPECTED BY: <br />RECEIVED BY: <br />� r� h O\r \ �� <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 />