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ouPn. <br /> SAKO <br /> OfAQ EnvironmentOHealth Department <br /> COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Pormbo a 113 1l8 <br /> ADDRESS: .3 CITY: — ZIP DE: <br /> �• P c IV n r roc Say <br /> OWNER/OPERATOR: K I TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION 9. OTHER PROGRAM RECORD <br /> ELEMENT: 4q6 7 ID#: PROINOO' ' <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> goM1 <br /> 1iC B,y,_l c- L n . <br /> OBSERVATIONS/COMMENTS: <br /> r ® t <br /> u <br /> L/' <br /> Iv reed' i 0- o bserve-d <br /> i <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: Mq DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />