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°pR & .0 SAN JOAQUIN COUNTY <br /> L — GZ ENVIRONMENTAL HEALTH DEPARTMENT <br /> rA; j 600 East Allain Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 446" <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEITYPE: DATE: <br /> Iter' mS �- - 1(,-. <br /> ADDRESS: fl A (&- cc! G'1r W CITY: /`11, /1 ZIP CODE: q ^ <br /> OWNER/OPERATOR: Q 5 _ i - T L ,HONE#: q - I ](�]��- <br /> TYPE OF INSPECTION: ❑ COMPLAINCONSULTATION LlOTHER PROGRAM RECOR I� 1l� <br /> ELEMENT: ID*: Via <br /> t v. <br /> NATURE OF COMPLAINTICONSULTATION: <br /> OBSERVATIONSICOMMENTS: �I <br /> 1'17 I n I i t <br /> Are— <br /> t. <br /> cithat <br /> m All <br /> i PNi <br /> CORRECTIVE ACTIONS: <br /> `IkAdNW A,- p h <br /> LAk. raw/ Q�KcF <br /> CORRECT BY: <br /> INSPECTED 8Y: �',�/�� <br /> INSPECTED <br /> BY: C V� DATE: <br /> �r fir/d <br /> EHD 46-05 <br /> 116109 Inspection Report <br />