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>0. <br /> SAN G SAN .JOAOUIN COUNTY <br /> jr- <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95245-6232 <br /> ai ✓Telephone:(209) 468 <br /> 3423 Fax: (209) 464-0138 Web:WWW.sjgov.org/1=hd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: � N � � DAlE <br /> 4A DR kbg One u 16 <br /> ADDRESS: CITtL <br /> ✓ VP CODE: <br /> OWNER/OPERATOR: i N �) I y TELEP E#: <br /> TYPE OF INSPECTION: COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM �.+ RECORD <br /> ELEMENT: 1154 ID#: '©O6 Z <br /> NATURE OF COMPLAINT/CONSULTATION: .JJ <br /> o d ) <br /> &-- 1 .e r-16 <br /> r� rQ- N o <br /> OBSERVATIONSICOMMENTS: " <br /> ` r wb M -eef <br /> r r' ' i -Pr- <br /> M r <br /> CORRECTIVE ACTIONS: jam, f <br /> ( rZ ; -,AA ff-e ) <br /> U Le <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: i V I DATE: <br /> EH17 48-05 Inspection Report <br /> 419!12 <br />