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SKJ OAQU I N Environmental Health Department <br /> COUNTY <br /> P <br /> �trF.0.- Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: �J eu ` Ropt � I L QK�: DATE: D� DT 4 <br /> ADDRESS: C3R45 WV ,' 11 0'41 �+ C10 V� CITY:KQ(MtAt61 ,-L, ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: COMPLAINT ❑ CONSULTATION OTHER PROGRAM - RECORq.. 60 1161ELEMENT: �''�� ID#: (� <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> cfaeis notGtr 1�` <br /> OBSERVATIONS/COMMENTS: ym <br /> S w iS b I <br /> Vb2V <br /> V V0 -t iLAA OLSV-ed0 Vltb LAD <br /> kl C- mu - <br /> 1° 1( <br /> S � <br /> CORRECTIVE ACTIONS: <br /> aAdQ c a <br /> r i r' <br /> 412 r <br /> MV.e , <br /> -Ij <br /> CORRECT BY: <br /> INSPECTED l3Y:&W,—M-A± <br /> RECEIVED BY: Wal j� `b DATE: <br /> ' t 35 D - Pa S S v Y <br /> CA °150035 <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />