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ulM' ° SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N; <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web.www.sjgov.org/ehd <br /> A�lPi <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE :` DATE: <br /> ADDRESS: CITY: ZIP CODE: <br /> OWNER/OPERATOR: - TELEPHONE#: <br /> v <br /> f rQw <br /> TYPE OF INSPECTION: ElCOMPLAINT El CONS ULTATION 0,;"OTHER PROGRAM .. RECORD <br /> ELEMENT: ID#. <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> tualvr <br /> viRMMENTALHEALT14 <br /> PERMIT/ICES <br /> OBSERVATIONS/COMMENTS: <br /> P <br /> CORRECTIVE ACTIONS: ... <br /> p,w <br /> y 3 <br /> CORRECT BY: ' <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 6/1/09 <br />