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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .; ; ,.•P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> I <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> CL <br /> ADDRESS: [ (� 1 1 -� CITY: ECIC-161 1 <br /> ZIP CODE: <br /> ctS2- <br /> ' <br /> OWNER/OPERATOR: TELEPHONE#: q — cI(034 <br /> t mein ro r�� I <br /> TYPE OF INSPECTION: (3COMPLAINT 13CONSULTATION OTHER PROGRAM RECORD <br /> ELEMENT: 3 Z ID#: C(D ()(_)3(]ZS <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> ® Ctio r A <br /> LA- e r c Carte�II t,,(4- <br /> OBSERVATIONS/COMMENTS: -OBSERVAATIIONS/COMMENTS: �G�C. e C ! C7vl lt4 J� (1`2cL <br /> CORRECTIVE ACTIONS: <br /> u c. C),-re- C+ I h, rple I cc <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: X V -� DATE: <br /> EHD 48-05 Inspection Report <br /> 11161D8 <br />