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AN .1 A UIN COUN40 <br /> TY <br /> * 2` ENVIRONMENTAL HEALTH DEPARTMENT <br /> t •1' 600 East Main Street, Stockton, CA 95202-3029 <br /> �� ;KERN•" Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> RECORD OF INSPECTION <br /> Page: of <br /> SITE NUMBER: INSPECTOR: �'rc(?'C�r m <br /> SITE NAME: ,c{F,,�c� <br /> RECEIVED BY : <br /> INSPECTION DATE: at 110 flon OPERATOR: <br /> COMMENTS: <br /> Nu mer e®v o%Z\ a C <br /> :.Z o p s vv;.v�c •,. ',/`®® I ?�� �d 'C-c�e:®�uS � , c>,.�c �.� u9.`\ <br /> l <br /> V�. �C- co-y'x � WtlK. �e g �'S LQ WS <br /> INSPECTOR'S SIGNATURE: DATE: 9— IO-201 <br /> EHD 44-03 RECORD OF INSPECTION <br /> 10/3/07 <br />