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opaury c <br /> SANAOULAironen Health Department <br /> COUNTY <br /> ° iFaj °P' Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> X191' <br /> ADDRESS: CITY: ZIP CODE: <br /> I � RAc tv I rz �TELEPHONE <br /> OWNER/OPERATOR: #: <br /> A <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION *OTHER PROGRAM RECORD <br /> ELEMENT: y/y ID#: ® V <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> L0 LICJJT <br /> L®/ 15ysiemimc, KlotAE- <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: N/ <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> M A, <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />