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P L9 SAN a� 1 COUNTY <br /> �O. CSG <br /> _ err NVIRONMENTAL HEALTH DEPARTAT <br /> y <br /> W: t <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;p Telephone:(209)468-3420 Fax:(209)464-0138 Web:wwwsjgov.org/ehd <br /> ��/FORS <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> `s®V �b O 201"7 <br /> ADDRESS: CITY: ZIP CODE: ZZ <br /> cl <br /> OWNER/OPERATOR: r TELEPHONE <br /> 1'" / ®7719 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATIONX OTHER PROGRAM RECORD <br /> ELEMENT: l.'^6 ID#: °L® 44=S5 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> 5 <br /> OBSERVATIONSICOMMENTS: <br /> dnw. ! <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: lea <br /> INSPECTED BY: r <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />