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A U EnvironmenttHealth Department <br /> < COUNTY <br /> otr'Fo �'� <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: CITY: ZIP CO ' <br /> nq% <br /> OWNER/OPERATOR' TELEPHONE#: <br /> fZ /L�V 2$!U L3� 2LLq Z3-:T3 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATIONOTHER PROGRAM RECORD <br /> ELEMENT: 7 ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> - <br /> < ,� <br /> es <br /> 77 <br /> CORRECTIVE ACTIONS: <br /> i <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <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 />