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oPgupy c (� <br /> SANdOAQU N Environmental Health Department <br /> ?` COUNTY <br /> °gFORaP Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS : CITY: ZIP� CODE: <br /> _� - <br /> OWNER/OPERATOR: TELEPH NE #: <br /> y 5L A � 0 � ) 94 <br /> TYPE OF INSPECTION : ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM RECORD <br /> ELEMENT: p14 <br /> S•'/ 7 ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> AGI C <br /> 0 <br /> FL - <br /> CORRECTIVE ACTIONS : <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> MAILED <br /> EHD 48-05 Rev. 10/26/2017 Inspection Report <br /> 1868 E . Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www .sjcehd . com <br />