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SANAOAQUIN <br /> <br />Environmental Health Department <br />COUNTY - <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: DATE: <br />a it i las. <br />ADDRESS: <br />ki01 NI. Ow..0 Ave. <br />CITY: ZIP CODE: <br />6 -(octcioN <br />OWNER/OPERATOR: <br />A61410 ALL ,TAV 1 D <br />TELEPHONE #: <br /> <br />TYPE OF INSPECTION: Jik COMPLAINT CI CONSULTATION 0 OTHER PROGRAM <br />ELEMENT: pig 00 <br />RECORD <br />ID#: c0006511.5 <br />NATURE OF COMPLAINT/CONSULTATION: Cc m p L A I id / LL CE ri-it_ pe.0 PLC. n-bei..r L1 \I e <br />Ai- rt-‘ E. A.17)1E12E0,5 A02.e 2 it KIN IN C4 At A.P .PtIANICE. IzePp.tZ g usCAS,S <br />bor 0 p- n-teL le t..- .s t [I. e. NI ce s TH r- iz.e n.--z_e_ CO 6 ria.m-rvi 0 LT) Z L.( N.Ii4. V <br />APP L I. Pkkt C. E.' &MTh GIA.V. IS ACK C:. 1 kl Tv E. •/....V. 11) 1-1-1 t..T ' ,. C 4 LI,' i NI G /s. lZbActi <br />Iktre.nrh.n04 INI TA-le. 1.4 etCli4150Z1-100D. <br />OBSERVATIONS/COMMENTS: iSa4 1?E cn01,4 v1 /4./ As 6 cc..., ta nu cre 0 o Kt 00,1.2 ,2 _ <br />GA.15,Acx E. AKIO TWA 14 AL -Q MOTC.156 GRA( E.- C) . 1-1 ON F‘t EIZ A"VP 1. t AN CE.k.i I <br />W t_17...V_ 6.15.n E.2.\/V'D maxr ro Tv-1- ID 1Z.1 \i EIA.1A4 AN! D I tk.i. F. ROMT OF rt4 r- <br />D12.6PEZT Y. 1 MET v•I l T14 rHe TEkie.t.ai NA AAR IQ I i m at4 LZ., Om dtre. , <br />M R . II 1...4 EN EZ OE. ta i f.7) F. i x I Ki C. A.p pi_ 1 A.m. C_Ir.., A..1.1 b THEN gEor.L.L.1 NG . <br />AcTivE GiNizgAG C ,5e.v.vic.E. vtrizIPLED Isq R E.-p LI a Li c 6E-RvIcE-6 - <br />CORRECTIVE ACTIONS: -REP EIZ.V.D 1E3 TO COD e E HNPozcefriEki-f . COI.A.T) 1.-&- t NI <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />i <br />r DATE: <br />EHD 48-05 Rev. 10/26/2017 <br />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