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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: /� DATE: iAll . 1 (� <br /> ADDRESS: CITY: ZIP CODE: <br /> �' ✓� fo utids �-�'C <br /> OWNER/OPERATOR: TELEPHONE#: L ^�3Lf—I f <br /> El <br /> L <br /> TYPE OF INSPECTION- COMPLAINT CONS El OTHER PROGRAM RECORD 1 J <br /> ELEMENT: ._ ID#: D <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> � A <br /> Itip 6)C) <br /> OBSERVATIONS/COMMENTS: <br /> r� 44 <br /> u IN, rT C0 <br /> �s�n+ Tf H1 S C' Z' — /- <br /> t a aper-4-o v' Q r <br /> • Ili b l or ig hor '.4 <br /> v'u/ ,10A4 `�i�M d�'-��4" Y_PkV4�u1s <br /> CORRECTIVE ACTIONS: <br /> V �l <br /> .� UI <br /> L — d a - NS <br /> o,- <br /> w h d,(?les or_v o(_ .ef✓>7: fc kyf ; ►� �' <br /> f <br /> dch X10 f i Corr <br /> 1//M Me Uri <br /> CORRECT BY: <br /> INSPECTED BY: ';��' q- c 4 6�_u j <br /> RECEIVED BY: f DATE: <br /> lk"�Lr <br /> 'v+��pu " 2 c'/GS wlcii I.(dW' L/— l.2 <br /> CL W;1/,'4MS . .541A -C-y LCut('AAt <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />