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S*AQUIN COUNTY PUBLIC HEALTH SE 'S <br />ENVIRONMENTAL HEALTH DMSIO <br />304 E. Weber Ave., 3rd Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />INSPECTION REPORT <br />Owner/Operator 5/1, od 81?05 Date ?-/3,77 iv-- <br />Location <br />v— -.Location t`'� G KAA17-.0 Ctc- 7-g/ ' y c I 75"-r'> <br />The followind cofrectibns are to be made: <br />MD Ta ClwxE <br />4*�y RRC-<bziuc..�Iram Pgen'buce - 4J( 4/e <br />QJ!.)& Q.5 tf I I <br />P41 F5 t ( f t If <br />F-4 16s - Aid 4D F K6Tr' <br />sLLL)h e:5 <br />9 92 A'�, C+Rt;arrAwe RAJ <br />9'S 3?6 <br />Received Notice: <br />KAREN FURST, M.D., M.P.H. <br />Health Officer <br />BY <br />&ered V*nntal Health Specialist <br />PHS 185 (2/98) <br />