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0.V IN <br /> �o•. .cp SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMW <br /> to., " X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �p Telephone:(209)468-3420 Fax:(209) 464-0138 Web:wwwsjgov.org/ehd <br /> ORS <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS: CITY'P ZIP CODE SZZA <br /> OWNER/OPERATOR' TELEPHONE#: s _141 <br /> S <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM \ RECORD <br /> c <br /> ELEMENT: i1 t5`L ID#: i>V_00400oso <br /> NATURE OF COMPLAINT/CONSULTATION: �rl v.- <br /> 17 <br /> OBSERVATIONS/COMMENTS: <br /> CORRECTIVE ACgT�IONS: p p <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />