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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 />il) ger, /fie 5,4-hisA- <br />DATE: <br />ADDRESS: <br />q 4C 14) v "AO A <br />, <br />d ° . frved,4 ,.... <br />CITY: ZIP CODE: <br />OWNER/OPERATOR: TELEPHONE #: <br />TYPE OF OF INSPECTION: R( COMPLAINT 0 CONSULTATION 0 OTHER PROGRAM <br />ELEMENT:1 / (.1.) 12' <br />RECORD <br />I D#: CO CeK1/3* (.0 <br />NATURE OF COMPLAINT/CONSULTATION: it-per4-4 -py1---(el-s 401( 4,41/ .101- <br />OBSERVATIONS/COMMENTS: elAsppAa y-p,6 -4,--ct -PerefAtj /WI a „we „„q----,-, ....cw,..-4 <br />6' <br />--- <br />epoilynat• <br />'Mei at .4 •Ar t ("-- fie 004EL- .--,`,.-A IS. ,f,v4„4.ii /Pet4,4/ ,r,f Ad*SW OOP., 0 ") CA 040., ../ Ora <br />fra /Ye - .t i-,.e-'2-4-$ .te,t4 ft. reo•fe-4.101 LI, 1,, ,7e.-/-",ek. <br />ek Av "(Alma Re goibtiEr 0 4( -,0e-- ,rierek IV- C gokAo-di /KA-01 1e- or <br />,p f• rise A,t e..4, 5 e 1- ,4407' ,Itc.,-.-d-or.--e- -44-in -to r--- 1" r 4.-1.0e-e0er qui,teek /0 <br />(Pfr- cad Atil ot--- ,Pir,y5Le s • <br />CORRECTIVE ACTIONS: /11.0 4,,,?1 7 aLao------7e04-0, <br />CORRECT BY: <br />INSPECTED BY: esice.4.- l) ••6` -- 3 otiet`' <br />A <br />RECEIVED BY:DATE: <br />EHD 48-05 Rev. 10/26/2017 <br /> Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 www.sjcehd.com