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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �.� <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax. (209)464-0138 Web:www.sigov.org/ehd <br /> at;FoaN. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEITYPE: DATE: <br /> 1 /IZ/o <br /> ADDRESS: CITY: ZIP CODE: <br /> 27-2C f S. 1vwaw1jtsw NdNsr 10w iR 4530 <br /> OWNER/OPERATOR: f TELEPHONE#: <br /> I-uekr '7- 0 D <br /> TYPE OF INSPECTION: 9 COM LAINT O CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: /3 ,/� ID#: "60Z?SS <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> '- Cv %- tOct/ -1- 1, <br /> Oft ay0` 3 cf4q- <br /> 9. <br /> ae� <br /> 3 � 3 <br /> OBSERVATIONS/COMMENTS: <br /> 4 <br /> CORRECTIVE ACTIONS: L n <br /> X1.4 J <br /> CORRECT BY: /V/- <br /> INSPECTED BY: V✓NRgN �� �!� ,��� <br /> RECEIVED BY: <br /> EHD 48-05 Inspection Report <br /> 1/16/08 <br />