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��OPQ"�1-Y• C <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> I 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax. (209) 464-0138 Web:www.sigov.org/e <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: / CITY: ZIP C DE: <br /> ��/ C�i2 r F-, 9<5` <br /> OWNER/OPERATOR: I TELEPHONE#' <br /> TYPE OF INSPECTION: A C-6mPLAINT Ll CONSUL ATION ❑ OTHER PROGRAM RECORD <br /> ELEMENT: ���� ID#: - Gl <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> r ' <br /> 4- . <br /> OBSERVATIONS/COMMENTS: (� <br /> z .•:'iC2 rr ll 20 D s r <br /> r-7 tQ —c ) 5 <br /> I c <br /> � r <br /> I v,J YI P-i)o 1 c'L- C <br /> c�tT.0-- cile ., 3L / <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: i DATE: <br /> acv 1►-� G; ► 3 . <br /> EHD 48-05 Inspection Report <br /> 6/1/09 <br />