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p4u�N SAN JOAQUIN COUNTY <br /> y E ONMENTAL LTH EPART <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> a�%FpR� <br /> OFFICIAL INSPECTION EOT <br /> FACILITY NAME/TYPE- j ® DATE: /r l� <br /> k <br /> ADDRESS: i ITY: ZIP CODE: <br /> w <br /> OWNER/OPERATOR: TELEPHON #: <br /> 7. <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM RECORD <br /> ELEMENT: ID#: 1 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> C V\ <br /> OBSERVATIONS/COMMENTS: <br /> CORRECTIVE ACTIONS: <br /> 9� C <br /> CORRECT BY: <br /> 01 <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />