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PQ!'IN, SAN JOAQUIN COUNTY <br /> ENSONMENTAL HEALTH DEPARTMO <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:wwW.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> ADDRESS:Agg ICI t ZIP CODE: <br /> �e C, <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: COMPLAINT ❑ CONSULTATION tROTHER PROGRAM RECoR <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> I1-64 <br /> OBSERVATIONS/COMMENTS: <br /> O 1 yy <br /> g/N1& g o "1'' S <br /> 0,60 i GtIAh ri- <br /> e- <br /> si-t- i <br /> o <br /> V : f <br /> CORRECTIVE ACTIONS: <br /> ti <br /> b U' <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />