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SANAOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: ---- <br />i-or rn ur,QY, <br />DATE: ' 7 0 /al <br />ADDRESS: .A. CO Y 4-1-0 0 kNi Ci-f-Y: ZIP CO E: <br />OWNER/OPERATOR: ,c no <br />Ct4 0 ClAile - 1\j e,c4A oaf sre,,(%4' <br />fA is, <br />1._.I <br />TELEPHONE #: zo q q 31._ 2D 40 <br />TYPE OF INSPECTION: I:i COMP,I4INT U CONSULTATION THER <br />1\k' Z il$;• ptc-4-i- ../1 <br />niTE:tr7 Lfr.za, RECORD <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: , <br />XID ) to k•A) ) i fly e C417 C)/t —fr6 <br />p ^11/\0.0e V" AM a...CA/J-02— Itl 0 4_ L-0-_, ,41Y1 iptQl4A-0 <br />4:_s lAct_ v__ V A M1 o (,tik +‘-tir c e -51 <br />sQ__ww <br />prP-U <br />WoLskfQ___ r 'i, ii=-N s --(--i, <br />S-42_Wi Q-- -C --j J1100 r _ <br />pc- I, cr-te cl ert'e'A_ ' /1 5 /-1(--(3°- I <br /> <br />OBSERVATIONS/COMMENTS: <br />- <br /> <br />7 ,9 4--k s i./y) tie44(3 12 1 cs Gt- -5 -1--cair <br />ci_okik)s-kr_s 12,Q 02._ — ILIA/into tO .(24() <br />..s.i/cVour-4.J2 .-(--tp ce__ --t-- c._ & <br />CORRECTIVE ACTIONS: <br />CORRECT BY: ) <br />INSPECTED BY: V •fltj--;4AJ <br />04-6 ..--- C535--) <br />RECEIVED BY: (i le"--- DATE: <br />e.2'k e 1 2-'2-1 <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com