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�. •F .o SAN JOAQUIN COUNTY <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> �<<FORN <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE:` % o' <br /> EVI L <br /> ADDRESS: % + CITY: S - �,. 11 <br /> %AJ ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE#: <br /> La c 6' i` PrP <br /> TYPE OF INSPECTION: COMPLAINT ❑ CONSULTA ION LlOTHER ROGRAM cy� I/ REC <br /> ELEMENT: �J��CJ ID <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> e , v JAS <br /> ' Cy C <br /> ' U cio <br /> (�4( /L n ✓2 V- <br /> OBSERVATIONS/COMMENTS: 421 <br /> .4- <br /> LO Vr <br /> s <br /> S G ,—e �✓ <br /> ;t, l r�) <br /> rc <br /> on In 4- <br /> r, /� S' <br /> �� c� -C at rOLW <br /> CORRECTIVE ACTIONS: OCzo <br /> Za 1/s zr <br /> /c Sz - rN'i <br /> �- <br /> uhi / r <br /> UITA-d C44 <br /> f <br /> CORRECT BY: C7 f 7 i t(� �- o <br /> INSPECTED BY: cowl <br /> RECEIVED BY: i DATE: <br /> yqr,y 40 C(•'E ^!e v V)Ar CS Pillet /P 7a owyhfP. <br /> EHD 43-05 Inspection Report <br /> 4/9/12 <br />