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ouN SA N 1 0A <br /> �, Environment Health Department <br /> COUNTY <br /> cgtrFo¢�P. Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE' <br /> �+kS nAyo ?n f <br /> ADDRESS: CITY: ZIP co': <br /> 4,52, <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: El COMPLAINT Ll CONSULTATION Ll OTHER PROGRAM RECORD <br /> ELEM ENT: I D#: <br /> NATURE OF COMPLAINT/CON LTATION: <br /> -r-rAje A x Y kld4zcs�Fr-saw <br /> OBSERVATIONS COMMENTS: <br /> : AL)are*rc <br /> ' FLY 6W6bffJ)d -. LrAltr ? aDLaArf, <br /> CORRECTIVE ACTIONS: <br /> Q&twnD2 T <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />