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<br />OWNER/OPERATOR' ' D twID THelS TELEPHONE #:
<br />TYPE OF OF INSPECTION: * COMPLAINT LI CONSULTATION 1:1 OTHER PROGRAM , ,
<br />ELEMENT: Lie 0 a)
<br />RECORD
<br />ID#: C01,645514 t 3"
<br />NATURE OF COMPLAINT/CONSULTATION:
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<br />CORRECT BY:
<br />INSPECTED BY: orkilor-tovior-
<br />RECEIVED BY: MA--q-
<br />DATE:
<br />EHD 48-05 Rev. 10/26/2017
<br /> Inspection Report
<br />SANAOAQUIN
<br />
<br />Environmental Health Department
<br />COUNTY
<br />Greatness grows here.
<br />OFFICIAL INSPECTION REPORT
<br />73-E"
<br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
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