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A�� AQ�! Environmen al Health Department <br /> CC)tr <br /> °qc/FORr`�P Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> 166 L l+aPs rpt `f 3 <br /> ADDRESS: CITY: j;,l_ L.AJ zip Cod7 11 96S E 11 oas &n2� <br /> OWNER/OPERATOR: �`�� G SQPI�ZE Lff - TELEPHONE go/ _Sy2 1 <br /> TYPE OF INSPECTION: Ll COMPLAINT ❑ CONSULTATION KOTHER PROGRAM ��6� RECORD `� O10 a <br /> ELEMENT: ID#: Priv S y 11 b / <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> .4 A/ Y wnsf r - <br /> OBSERVATIONS/COMMENTS: <br /> ANNR-Y WfiSTt <br /> IiIBH! <br /> O f <br /> CORRECTIVE ACTIONS: <br /> s a Es T <br /> R E MG- <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Rev.10/26/2017 I D Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />