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°U'" a SANAOAQUIN <br /> ° c�� Environmental Health Department <br /> COUNTY <br /> ,cP <br /> gc,Foaa Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: � //-- <br /> L. USD �i S TriC DATE:�G�e-Lt��S� <br /> ADDRESS: 16 S 5 5 S - VC'V) sos-b't', 0 <br /> CITY. aC ZIP CODE: 95 <br /> n <br /> J v <br /> OWNER/OPERATOR: I r ' T TELEPHONE#: <br /> U <br /> A -�-► OJ SG o� IJP k4Zp _ 34-7Y10 <br /> TYPE OF INSPECTION: ❑ COMPLAINT X CONSULTATION ❑ OTHER PROGRAMn RECORD I�fld'$�S �g <br /> ELEMENT: o�tel/ ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: e*-% Q t-jrf,Q "m -e.h-o <br /> S L/1 <br /> OBSERVATIONS/COMMENTS: I f ` (� Q C c3 S <br /> CORRECTIVE ACTIONS: <br /> VQ- <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED B DATE: <br /> Lj J <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />