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Pqu�N. <br /> '•�' "�"Oc SAN JOAQUIN COUNTY <br /> a < ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-3433 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: I_ <br /> ADDRESS: CITY: ZIP CODE: <br /> 6V-k1\ c�cc Dr. \tA C>n q a <br /> OWNER/OPERATOR: ELEPHONE#: <br /> V C V-'C. �G�s.M(TPS - C\CJ �SS <br /> TYPE OF INSPECTION: 9, ❑ PROGRAM ^ RECORD <br /> LTJ(:OMPLAINT CONSULTATION �OTHER ELEMENT: �el- d� ID#: Lp erv{ k8ci <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> ,k\h '\ <br /> ..� X "'C <br /> pc�cc,\;o^ �t�S�•�o\� o.S�ocSkaS ''4 \crr� Jcwk�r~,:�c>4"�o-. . �c�l�',�� <br /> OBSERVATIONS/COMMENTS: <br /> �11U ro� l7�J L LN�v� <br /> CORRECTIVE ACTIONS: \ \ 1 <br /> �p LJ r C-CA- Ui <br /> CORRECT BY: N <br /> INSPECTED BY: <br /> RECEIVED BY: ! DATE: 7 <br /> EHO 48-05 Rev.04/19/12 INSPECTION REPORT <br />