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�AN�I�AQIJIN <br />CCNU NTY <br />Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: n <br />ADDRESS: �.'�Q � � � <br />VV O <br />CITY: <br />� <br />ZIP CODE: S 2 2 <br />J 7 <br />OWNER/OPERATOR' , r <br />�����- � <br />/BVI i <br />� <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑COMPLAINT CONSULTATION ❑ <br />OT ER <br />PROGRAM � � <br />ELEMENT: <br />� � <br />V <br />RECORD <br />ID#:�� •.V�J � vhJ <br />,-, <br />NATURE OF COMPLAINT/CONSULTATION: t <br />'� <br />�_ <br />" � !�/� <br />S-' ' �� ` � <br />� r� aV1n � � � � �, � � � 1,� � � <br />OBSERVATIONS/COMMENTS: �i✓�J <br />'L <br />� <br />�` <br />C Cv� '�(/1 <br />� i � � �� <br />-�� <br />eve I <br />� , <br />arrr � ; �.. <br />� --�a� � <br />" {-I- -�., <br />f <br />u�a <br />Y mss; c � --� <br />_S ce � � <br />,� <br />h� <br />C c�► <br />- s �,� <br />✓lel. o u <br />� <br />c � <br />vC -�f' n �., <br />r� � � <br />� <br />� <br />CORRECTIVE ACTIONS: , 1J1 <br />CORRECT BY: <br />INSPECTED BY: � � �p . ��`��� <br />RECEIVED BY: � <br />_,,," <br />DATE: ; � � �U <br />.;� <br />EHD 48-05 Rev. 10/26/2017 <br />Inspection Report <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />