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oPa`•'•I""' ° SAN JOAQUIN COUNTY <br />>.• ...,E� .oG <br />z —err Z ENVIRONMENTAL HEALTH DEPARTMENT <br />Q: <br />N• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• .. _ P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />qi%PpRt•� <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: QI <br />H- <br />DATE: ^ '0 <br />ADDRESS: 1 11 0 �,�� <br />n ' , <br />'!� <br />CITY: i - <br />ZIP CODE: �j <br />l�/ <br />OWNER/OPERATOR: <br />TELEPHONE #: �^�J p �/ <br />L1_11 _ ..1U,Z -q <br />TYPE OF INSPECTION: L]COMPLAINT A C <br />SULTATION L3 OTHER <br />PROGRAM <br />ELEMENT: <br />(� <br />RECORD <br />ID#: ^� Q V <br />NATURE OF COMPLAINT/CONSULTATION: <br />V =► '51A 0111 <br />OL)R& <br />1 <br />OBSERVATIONS/COMMENTS: <br />cp,Jj(� <br />&ELU <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />n <br />RECEIVED BY: '��1 <br />DATE: <br />EHD 48-05 Inspection Report <br />4/9/12 <br />