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"aU�N SAN JOAQUIN COUNTY <br /> tom. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> P Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> gcikbRP <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: 0CITY: ZIP CODE`'�� <br /> �S' 1-1 � '� S�`�x k lro-� �52rS <br /> OWNER/OPERATOR: / TELEPHONE#: <br /> TYPE OF INSPECTION: Of-COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM �32� <br /> RECOR <br /> ELEMENT: <br /> NATURE OF COMPLAINT/CONSULTATION: i 4) 11-1-4 41-1 1101 ?/ 1V-/IS /,I _ <br /> OBSERVATIONS/COMMENTS: <br /> �r Cps Carr i/�S 4rI 4 <br /> D <br /> _v�/ ren �•�. <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> Inspection Report <br /> EHD 48-05 <br /> 4/9/12 <br />