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vw/cottvv r i4 vi rnn IfjUU•L/UU1 <br />0 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 466-3420 Fax: (209) 468-3433 Web:,sioay.or ehd <br />24 012 4614 A i Ni e 1 <br />• - :. <br />RR9,11,707-Z Do pill <br />Inspection • • <br />• at • • • • t_ • r • = •707.1 TUT) r*'TT2n7WL 47t= <br />unless otherwise r : r In the InspectionReport. <br />staffNote: All EHO <br />billed time associated vAth Wing to comply by the above noted dates will FF <br />For • becompletetheoperator <br />verifying• A statement documenting what corrective actions were taken or will be taken for each violation <br />• Copies of sample resUWn12nifests/training recordslother appropriate paperwork, and/or photos <br />corrections <br />Inspection Date: 0S 2-/0- 7 Inspected By:. Al"tllz _-�LA <br />FacilityAddress; 236o } <br />,+ • <br />I certify under penalty of law th qi <br />1. 1 have corrected the violations speeffied in the Inspection Report from the above-mentioned <br />inspectionalate. <br />• • —Paperwork .. <br />fia <br />.: <br />Signature:Date:/ ., i ) <br />ENO 22-02.005 Rev ®5x05 <br />