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UiAf <br />'jc SANsJOAQUIN <br />—COUNTY <br />— <br />4 "94iii-6 ' Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />ADDRESS: <br />CITY: <br />ZIP CODE: l� <br />OWNER/OPERATOR: ( <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT It CONSULTATION ❑ OTHER <br />PROGRAM r <br />ELEMENT: `I C <br />RECORD B <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />OBSERVATIONS/COMMENTS: <br />C <br />�' v. r• t <br />Inn . <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />r> <br />RECEIVED BY: <br />fz.....� <br />DATE:) <br />EHD 48-05 Rev. 10/26/2017 <br />Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />