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PpU1N� <br />SAN JOAQUIN 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.sjgov.org/ehd <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />ADDRESS: -Z)Q.430CITY. <br />4�. <br />S,\ 1 <br />ZIP CODE: \� <br />\ <br />OWNER/OPERATOR: <br />TELEPHONE� <br />TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: �il <br />RECORD <br />ID#: v'k—b b _V <br />NATURE OF COMPLAINT/CONSULTATION: <br />OBSERVATIONS/COMMENTS: <br />n \-'CG'Pc L.� \,<,- N Vlj G <br />�\"1 <br />CORRECTIVE ACTIONS: <br />16W'14-1 <br />CORRECT BY: 10 <br />INSPECTED BY: <br />w v� v <br />RECEIVED BY: <br />DATE: <br />EHD 48-05 Inspection Report <br />4/9/12 <br />