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SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjqov.orq/ehd <br /> 4i 6" <br /> 9171 9690 0935 0044 8842 67 <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE DATE: <br /> A <br /> ADDRESS: tCITY: ZIP CODE: <br /> o <br /> L <br /> OWNER/OPERATOR:Xlf�v TELEPHONE#: <br /> TYPE OF INSPECTION: 0 COMPLAINT 0 CONSULTATION J OTHER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSUL"ATION: <br /> J� <br /> Z: <br /> OBSERVATIONS/COMMENTS: <br /> zce <br /> a? n 'r <br /> 01 <br /> CORRECTIVE ACTIONS: <br /> r 4 ; <br /> C <br /> o"1'1-1/� zle 3�1 <br /> CORRECT BY: <br /> INSPECTED BY: <br /> 4z"-x_'? <br /> --7 1 <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/QJ19 <br />