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p4u N SAN JOAQUIN COUNTY <br /> o c � <br /> Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> V. < <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> c. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9��FSRH <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEITYPE: DATE: <br /> / o <br /> ADDRESS: r CITY' / ZIP DE. <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: -,7 ID#: R r7S/ 0/ <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> wnii <br /> OBSERVATIONS/COMMENTS: / <br /> CORRECTIVE ACTIONS: <br /> Ke--- <br /> CORRECT BY: �l <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> —1 <br /> EHD 48-05 Inspection Report <br /> 1/16/08 <br />