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Q°PnUJN S A NsJ A Q N Environmental Health Department <br /> " ' `¢ COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: v,'o3 -26 <br /> ADDRESS: u Z g CITY: !�t C �KZIP CODE: 1rn 67 <br /> OWNER/OPERATOR: MOLViOU �� I�� � TELEPHONE#:(209Aq-1216 <br /> TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATION ❑ HER OTPROGRAM y „ RECORD C fin(�J s�pJ <br /> ELEMENT: s " ID#: v oO <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> V . Catsc of bol div, anA saoip afuu4 <br /> OBSERVATIONS/COMMENTS: <br /> t Oww ShQwt"Ichjxes of Us I & <br /> -fra�vv � f instal fi� ar <br /> AeA iS no slqn itach- lin r <br /> jCgChj ru, ter s w d. . N w IeA61, LAne, ' <br /> (1D/ bryPhil i2lberA <br /> CORRECTIVE ACTIONS: <br /> R <br /> CORRECT BY: <br /> INSPECTED BY: <br /> ' <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 />