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SANANJOAQUIN <br /> <br />Environmental Health Department <br />—COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: ,., DATE: y/, <br />- ADDRESS: <br />ç/, 114. q? f 4,4)eivi (02 yo CiTv: j, ZIP CODE: <br />'clr-le7 <br />OWNER/OPERATOR:r, <br />.14 us ( (4) /1.4k1{) gl t$ <br />TELEPHONE #: <br />TYPE OF INSPECTION: COM(PLAINT 0 CONSULTATION U OTHER PROGRAM <br />ELEMENT: <br />tfio <br /> 0 <br />RECORD „ <br />ID#: ik ty) €.&' 37 <br />NATURE OF COMPLAINT/CONSULTATION: it, ti ikiLizi t zkiS e a- 1.0044'4) x), 0.4 ma. ncive 1 /10 <br />So Ott- AL4-#.0 Cii.,t4ii.1 e ..t )ii; d 4/ oft 3 ,Ct.- 50 1... le...L A A.,1 lo,„i <br />It NA- tfAJA 1 ii1-1, or 1.- l it f)L--) sit I/ riAii 4..,... ,,X, lie ,i ' • i'.-L- <br />f ea' 6.: .I- . 1ta_4.4 ;} A ‹It 1- 407 I t i k 'IL 'Jeff .(4 dio (zs its" 1041412e? <br />amyl i, 1.-A .6 A- . <br />OBSERVATIONS/COMMENTS: 0 ksz y- k, .e 41 o a,, piti 5 /1 1.1). LIR 15 / „.15 y ,yre 44, a , • <br />k sor,,, itt441 %,: 1.1.114:4441- 4 Iv 3()t 7 ,1 It <br />ow r gtv-3 k 4.94-1-1---- 4riNt.'d p i'p t ‘'., 11.-41 Pc- v 161,414, /1) Gki- <br />4.. Vtiti..14. le 1e.1 k sei1; L 44..4 k , <br />MD C Lat-t' -hi t) 'y y ,C <br />CORRECTIVE ACTIONS: LA .-,,, (It ;,_. i i • II 41 p L .‘..1. Lt. (,,s e.,.-/-t i.1.0 1 <br />CORRECT BY: <br />INSPECTED By: 11_ <br />i nivi (4L frkel:?ii <br />RECEIVED BY:DATE: <br />oe, %s I LL 45ef,/ vis 0 w— 1-#1 /: 7 e <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com