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°U'" SANd14JOAQUIN p <br /> Environmental Health Department <br /> COUNTY <br /> cq< P Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: /7 DATE: <br /> ADDRESS: i CITY: " ZIP CODE: <br /> OWNER/OPERATORf r TELEPHONE#: <br /> TYPE OF INSPECTION: LI COMPLAINT CO SULTATION L3 OTHER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: 'f— VL:�r <br /> L <br /> OBSERVATIONS/COMMENTS: i <br /> (_ e . <br /> i � CIA- <br /> ,ate <br /> CORRECTIVE ACTIONS: V U <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Rev. 10/26/2017 J Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />