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<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: DATE:
<br />ADDRESS: , • 2 . k'bk_-_,/ 1.1 SOI-N ,Q ,A
<br />CITY: ZIP CODE:
<br />OWNER/OPERATOR: — TELEPHONE #:
<br />TYPE OF INSPECTION: El COMPLAINT 0 CONSULTATION U OTHER PROGRAM
<br />ELEMENT:
<br />RECORD
<br />ID#: r::-,n ()C... 5-4,6 .4,0
<br />NATURE OF COMPLAINT/CONSULTATION:
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<br />CORRECTIVE ACTIONS:
<br />CORRECT BY:
<br />INSPECTED BY:
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<br />RECEIVED BY: , . DATE:
<br />EHD 48-05
<br /> Inspection Report
<br />4/9/12
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