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O?`cku I N':C <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cP 'I Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> ,9 Ci'FOR-' <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> (_-/ -� O --)3..-zCL 1 ra , .I <br /> ADDRESS: CCI 1' ZIl COD : <br /> 7�7 <br /> OW <br /> NE ERATOR: TELE #: <br /> TYPE OF INSPECTION: Zt COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: lt_2�_D 1 7 3U <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> G r Sr 'wC <br /> OBSERVATIONSICOMME NTS: 1 <br /> cam.. S wWcfr <br /> wa GO WI rng <br /> H '' CSC L �',�-rz� r•. Ills 4� iK //7 I �t M <br /> S 4 h✓c <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: r <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />