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PaW"c SANdOAQU � N p <br /> Environmental Health Department <br /> COUNTY <br /> :SOP <br /> gti96-"" Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: 9� F; T6I�Tl'elder? <br /> ZIP CODE:i7Q <br /> OWNER/OPERATOR: a(�l ) / TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT Ciff CO SULTATION ❑ OTHER PROGRAM RECORD <br /> /ELEMENT: ID#: Sg11 Z�� <br /> NATURE OF COMPLAINT/CONSULTATION: Gpt�1/�eC�0 2 �d (�Lk7l- <br /> OBSERVATIONS/COMMENTS: <br /> 110- !m S -GrG <br /> C -moo O o <br /> CORRECTIVE ACTIONS: p <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: C D '^ I DATE: Zo <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />