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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cd �P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �1FORt� <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEITYPE: DATE: 4 (01 0 /13 <br /> ADDRESS: CITY: ZIP CODE: cj5'Zo� <br /> Z0?-7 157- w e-I-Av k-fo.� <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION X OTHER PROGRAM RECORS3�flog <br /> ELEMENT: 322 ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: clner-E <br /> OBSERVATIONS/COMMENTS: F14.1t d V j— w�aGI fZeo( 140,40-- CIU 1 C- 1^ <br /> r(%!twa 4e-(t1ll %oma &",a Goy 4oL ie- 14tard g, 4-4,, o,* - <br /> door bw(— vio one OLAS&'je-reol 4-4t door, <br /> CLW tur fy 6C Lo',e'ed Iv d r e-S C-,r�A S -M a- r-e d <br /> t5 1( 4-e n i-- l l'e <br /> r►� int 567 C a r d <br /> CORRECTIVE ACTIONS: Cyr,-e etk( Roµ — L,'� v!ol'Hoe'S <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: v DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />