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°*CLV!N'C SAN JOAQUIN COUNTY <br />Q: <br />r Z ENVIRONMENTAL HEALTH DEPARTMENT <br />N. `{ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />c. P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: 1 <br />DATE: <br />ADDRESS: <br />CITY: <br />ZIP CODE: <br />OWNER/OPERATOR: <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: <br />RECORD <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />OBSERVATIONS/COMMENTS: <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: <br />EHD 48-05 / Inspection Report <br />4/9/12 �� <br />