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n O.A�UrN <br /> z — - SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton <br /> , CA 905-6232 <br /> �.q•.- •-- �P Telephone: (209)468_3420 Fax: (209)464-0138 We ?bwww.Sjgov.org/ehd <br /> <<F ORN <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: <br /> ADDRESS: DATE: <br /> U CrrY01,111 <br /> 1 r : ZIP CODE: <br /> OWNERIOPERATOR' N SZt� <br /> 19/f1l/ '~ � TELEPHONE#: <br /> TYPE OF INSPECT <br /> PON: L3 COMPLAINT ❑ CONSULTATION a OTHER PROGRAM <br /> #vVy"V rvlm"V ft S'1 RECORD r� <br /> ELEMENT: r 2e(j t ID#:�dnC 3S 6 7—fNATURE OF COMPLAINT/CONSULTATION: <br /> I'f N IG I t <br /> OBSERVATIONS/COMMENTS: <br /> kfv 11W 14A 2m tic f Ir <br /> ► s N Ccy✓D�[C dyV 4 0C IVd <br /> CORRECTIVE ACTIONS: �,}�� .fwd 1- .ry J <br /> v r"rw lriIRSP / ylO r� 4 <br /> sI�3 <br /> RAS rPF PR�.`�ur3 <br /> CORRECT BY: <br /> INSPECTED BY: � 'w 'raw <br /> 4 <br /> RECEIVED BY: J � �� <br /> DATE: <br /> 1� I <br /> EHE]4M5 <br /> 419112 <br /> Inspection Report <br />