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SAN JOAQUIN COUNTY <br />cel ENVIRONMENTAL HEALTH DEPARTMENT <br />!� 1 <br />600 East Main Street, Stockton, CA 95202-3029 <br />,:P•• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />�/'' <br />�1 <br />/ /* <br />DATE: <br />ADDRESS: <br />! a.r.I `0 <br />(] <br />CITY: <br />DC tdr <br />- 0 / <br />ZIP ODEL-- <br />OWNER/OPE TOR: <br />'it <br />� <br />�� (� <br />( <br />:S <br />t <br />�Y KS izt <br />TELEPHONE#: /' <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION <br />OTHER <br />PROGRAM <br />ELEMENT: -'3&' ' <br />RECORD <br />ID#:O 211-3 <br />NATURE OF COMPLAINT/CONSULTATION:-r - k % <br />u,j,I ('CLw4 �'{'.✓'�o" _/�.�C<C —r`dYl <br />l 1 JC3J l_i <br />V <br />L4 i <br />Z : 3 PLS l�,C <br />OBSERVATIONS/COMMENTS: <br />G' Y4 Vf/ - G U; -,v- - <br />jk*'C' 2 , <br />OA- I <br />i <br />oumcwj <br />cam <br />alko <br />Q1 AA Or <br />I'l IA <br />y11 <br />a- 42 <br />S <br />CORRECTIVE ACTIONS: <br />n <br />Int <br />u r r <br />, <br />r <br />CORRECT BY: r <br />%' ^ <br />d ( C L "-'r l <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: <br />EHD 48-05 I ection Report <br />6IV09 <br />