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SANa141OAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />ADDRESS: ,� <br />CITY: <br />ZIP CODE: a, <br />OWNER/OPERATOR:TELEPHONE <br />11M k �64/ �� �� 0� 1 << ;:t t I <br />#: <br />TYPE OF INSPECTION: ❑ COMPLAINT ACONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: -� <br />RECORD <br />ID#:� Z <br />NATURE OF COMPLAINT/CONSULTATION: <br />�� L �o. <br />OBSERVATIONS/COMMENTS: <br />A )G(6 Et - i . `-4- ah <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: / �I <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 209464-0138 1 www.sjcehd.com <br />