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PQUIN' SAN JOAQUIN COUNTY <br /> AVIRONIVIENTAL HEALTH DEPART NT <br /> :2 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 AMENDED <br /> • cq��FORe��P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd 11 <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> E! Dorello ,,,<J- MCA(i <br /> ADDRESS:/(7o/ 5• C/ <br /> D ,f CITY: f ZIP CODE: Sa <br /> ora o S1oc }�n `^� 06 <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM rye/ RECORD n <br /> ELEMENT: v�Jap ID#: P►`0-73 )OV <br /> NATURE OF COMPLAINT/CONSULTATION: > 1 1 <br /> 'le 't / he v7 c)- l 0cfAne -r eks. i0/Af'1DYfS <br /> o g)ffafe The LISTm 64d mf been 1'5sueCt and <br /> Perm <br /> m. o� eeh ;G(• <br /> OBSERVATIONS/COMMENTS: <br /> lal � le '-Fe Ae feese c,.,ted vn 11 to un i IT on f IrY e44)D), <br /> pie 'trlo-" redecl, 1n <br /> Ie <br /> vidl be b e Orre k0 rc, e 6f TIE F-9D. <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY:��SGr �WA/LG <br /> RECEIVED BY: rA DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />