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urNc;� S A NAOAQU11 Environmen#Health Department <br /> CCNU I JTY <br /> �gi'fFoa�p Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> I + <br /> ADDRESS: CITY: ZIP CODE: <br /> K <br /> 1 96 3L <br /> OWNER/OPERATOR: TELEPHONE#: <br /> U <br /> TYPE OF INSPECTION: LlCOMPLAINT LlCONSULTATION IsKOTHER PROGRAM RECORD <br /> ELEMENT: 4,4467 ID#: 'P RV 5-1 014 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> -,1Aizz ' <br /> OBSERVATIONS/COMMENTS: <br /> t — <br /> V <br /> L <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> M IL <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />