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pe4u1N' _ SAN JOAQUIN COUNTY _ <br /> a: <� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> � 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY E/TYPE: DATE: <br /> I.c I. C.G q — Z7- 11 <br /> ADDRESS: CITY' ZIP CO�E: <br /> �z <br /> OWNER/OPERATOR: TELEPHONE#: <br /> rt <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATIONAME5111 OTHER PROGRAM RECORDn <br /> ELEMENT: bK yZZ� ID#: T S <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> ;^612«411I— <br /> OBSERVATIONS/COMMENTS: <br /> sf <br /> A..r- O <br /> OBSERVATIONS/COM/1M ENTS: <br /> Qn 1/f <br /> r aQ IQ <br /> CORRECTIVE ACTIONS: <br /> +-Z-. <br /> CORRECT BY: /v <br /> INSPECTED BY: <br /> RECEIVED BY: (� /' DATE: <br /> EHD 48-05 Inspection Report <br /> 6/1/09 <br />