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uIN' ° SAN JOAQUIN COUNTY <br /> �✓ ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: a <br /> y. [ <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 /> Q��FOR/ <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEITYPE: n DATE: t <br /> i � � VI� r� (� <br /> ADDRESS: 0 ' CITY: C ZIP CODE: G{r � <br /> Y1 A <br /> OWNER/OPERATOR: �. TELEPHONE#: (J <br /> Il � 7 <br /> TYPE OF INSPECTION: ❑ COM LAINT ❑ CONSULTATION GCOTHER PROGRAM RECORD <br /> ELEMENT: ! ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: (/ <br /> L <br /> 46k IAkt <br /> N CQ.• <br /> y p <br /> �- al <br /> ,� yc4vwo <br /> OBSERVATIONS/COMMENTS: <br /> n t Nr� 61 <br /> 0" <br /> I <br /> CORRECTIVE ACTIONS: <br /> 1�:Db4b rAJLQk <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE.: <br /> A�/� <br /> '/ <br /> EHD 48-05 Inspection Report <br /> 6/1/09 <br />