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ulN''� SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�., •p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />q��FOR�i� <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: � <br />DATE: <br />t� <br />ADDRESS: <br />L� � ( • G <br />CITY: � /'r%_. Y � <br />T rC <br />ZIP CODE: <br />OWNER/ PERATOR: i fr. <br />L� (� �0 --- <br />TELEPHONE #: <br />1- s �z <br />TYPE OF INSPECTION: ❑ COMPLAINT ONSUtfATION ❑ OTHER <br />PROGRAM -76 <br />ELEMENT: C V <br />RECORD <br />ID#: <br />O� <br />NATURE OF COMP INT/CONSULTATION: <br />�L 1 <br />BSERVATI COMMENTS: <br />l bl <br />s <br />a <br />4&_ <br />C2 Qqq� V, <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY:0 <br />Q� -� <br />RECEIVED BY: / <br />L— X <br />DATE <br />EHD 48-05 Inspection Report <br />4/9/12 <br />