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Pau'N SAN JOAQUIN COUNTY <br /> ao.• co <br /> y E RONMENTAL HEALTH DEPARTM <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �/FpRa <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: ® DATE: <br /> E ®\ I t 17 Zo[ <br /> ADDRESS:2 1 CITY: ®� ZIP CODE: <br /> 2 <br /> OWNER/OPERATOR: TELEPHONE#:p2 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM RECORD <br /> ELEMENT: 4%j6 ID#: S 47.19 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> OAP Q1 <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: 00, <br /> RECEIVED BY: o-Lej DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />