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SA NsJ 0A <br /> U I N Environmental Health Department <br /> FCOUNTY— <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Tin I 9171al <br /> ADDRESS: CITY: ZIP CODE: <br /> 2. 3 ,r, 11 1161 . ROLE- V. ,50KN lZIDe r 96906 <br /> OWNER/OPERATOR: TELEPHONE #: <br /> a-o - 6 - 6 <br /> TYPE OF INSPECTION : ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM RECORD <br /> ELEMENT: ID#: p <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> lu - <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: _ <br /> , <br /> RECEIVED BY: DATE: <br /> MAIL <br /> EHD 48-05 Rev. 10/26/2017 Inspection Report <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd .com <br />