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"4'IK• SAN JOAQUIN COUNTY <br /> 2r ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: ya <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 /> 9CiFpRN` <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Tl��✓ �,qZ � Ste/ <br /> ADDRESS: CITY: ZIP CQ � <br /> S . Ate- <br /> OWNER/OPERATOR: <br /> tpOWNER/OPERATOR: TELEPHONE#: <br /> C- 1GL�6 <br /> TYPE OF INSPECTION: COMPLAINT L3CONSULTATION ❑ OTHER PROGRAM RE <br /> CORD ELEMENT: IDN:#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> O B S E R V AT I O N S/C O M M E N TS: <br /> / l <br /> 5.6j 1-b <br /> y c /�Ea/ Cr`a uP <br /> ZCG <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: A114 <br /> INSPECTED <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9112 <br />