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°g4 I" ° SAN .JOAQUIN COUNTY <br />�\ ENVIRONMENTAL HEALTH DEPARTMENT <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: ` I.( nn <br />I�C�Ww� <br />� Ck4tA <br />ICCITY: <br />DATE: � �' D O' <br />ADDRESS: n ��� r <br />`�Mwy <br />C1' <br />' u ^ 1, LSA <br />ZIP CODE:p� <br />( <br />OWNE <br />/4 ",FATTELEPHONE <br />#: Q <br />Oa OJq <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION AXTHER PROGR M <br />ELEMENT: '127 D <br />RECORP I� <br />ID#: 1 P— � S I� <br />NATURE OF COMPLAINT/ ONSULTATION: <br />�„ sff <br />v <br />Q< -c 2-a 10 <br />OBSERVATIONS/COMMENTS: O <br />A V- <br />-e <br />1 % MASS <br />ye 4,n WoLiv\ <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE- 1 ) <br />EHD 48-05 Inspection Report <br />6/1/09 <br />