Laserfiche WebLink
aUtN' <br /> ° c Environmental Health Department <br /> SANAOAQUIN p <br /> P' - <br /> 2 y,. <br /> COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: n <br /> ADDRESS: CITY: . ZIP CODE: <br /> OWNER/OPERATOR: \1,s , TELEPHONE#: <br /> QW <br /> TYPE OF INSPECTION: ❑ COMPLAINT ,,CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: �r>t)7 ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> l <br /> r' <br /> OBSERVATIONS/COMMENTS: <br /> r r <br /> "''mo <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: r <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 />