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ul�''O 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.sigov.org/ehd <br /> q��FOR�i� <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: / <br /> DATE: •7/I D <br /> ADDRESS: CITY: ZIP foul CODE: <br /> T�� ►��� SSvc Y�Zo3 <br /> OWNER/OPERATOR: J a r �fl D TELEPHONE#: S _ l <br /> r� 7 <br /> TYPE OF INSPECTIOW. t3 COMP AINT ❑ CONSULTATIONOTHER PROGRAM RECORD <br /> S u S ��. ELEMENT: ID#: PRO 5,c3Of O <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> 2 <br /> OBSERVATIONS/ .0 MMENTS: <br /> r <br /> fl os 70za <br /> 5 26Z 8� <br /> rts �s AS 2 <br /> a DO -A 0042 <br /> mac" 1 - <br /> CORRECTIVE ACTIONS: <br /> OA 4 <br /> / ( 6C <br /> r lad <br /> r L"j; <br /> It bX <br /> CORRECT BY: <br /> INSPECTED BY: L•S-n_� r,�y L d I� <br /> .17 <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />