Laserfiche WebLink
�U <br /> A Environmental Health Department <br /> Q . 1SANAUI � <br /> COUNTY <br /> ��c,,�Fos��• Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> rI <br /> ADDRESS: CITY: ZIP CODE: <br /> 1'4 f <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: 4 COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: ` ID#: C <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> 0 ` F1--j Aj514 <br /> t <br /> C-ONTR&CTOZ FOV. 11dE V?-6-TF-CT- <br /> OBSERVATIONS/COMMENTS: itsmpr-r—now w&,:5 comrourT-c- h am 111c21119 W111.4 <br /> 2 4 <br /> TO LIG THA:t TI-4F- L• <br /> Z% <br /> I t <br /> (Fop.Em&g) TwAx nm AIR <br /> AR oN• <br /> CORRECTIVE ACTIONS: <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 1 F 209 464-0138 1 www.sjcehd.com <br />