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SAN JOAQUIN COUNTY <br /> E IRONMENTAL HEALTH DEPARTM <br /> IORT <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 /> hi <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Q,5 Z, 12 A 3 ZO 16 <br /> ADDRESS: 2 ?b� CITY: ZIP CODE: <br /> 1VA() <br /> OWNER/OPERATOR: n ` c2A TELEPHONE#' <br /> ,�•o � -2 <br /> TYPE <br /> TYPE OF INSPECTION: OMPLAINT L3CONSULTATION )EIOTHER PROGRAM RECORD <br /> .A'� ELEMENT: ��5 2 ID#: e® 3-0 <br /> 64 0 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> ^® <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: 20\ <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />