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SAN JOAQUIN COUNTY <br /> Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> O; 0 <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE- F:(--, `CA/7 e L I <br /> DATE: <br /> ADDRESS 2 � � �Y J CITY: �,., ZIP COQ,^�� <br /> �J T 7 E3 <br /> TYPE OF SPECTIO�J: ❑ COMPLAINT ❑ CONS ATION THER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> o� <br /> s <br /> d <br /> CORRECTIVE ACTIONS: <br /> d <br /> CORRECT BY: <br /> INSPECTED <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 1/6/09 <br />