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EHD <br />FA <br />AD <br />OW <br />TY <br /> <br />NA <br /> <br /> <br />OB <br /> <br /> <br />CO <br /> <br />CO <br />INS <br />RE <br /> <br />D 48-05 Rev. 04/19 <br />ACILITY NAME/T <br />DDRESS: <br />WNER/OPERAT <br />PE OF INSPECT <br />ATURE OF COM <br />BSERVATIONS/C <br />ORRECTIVE AC <br />ORRECT BY: <br />SPECTED BY: <br />ECEIVED BY: <br />Teleph <br />/12 <br />TYPE: <br />TOR: <br />TION: ‰ COM <br />MPLAINT/CONS <br />COMMENTS: <br />TIONS: <br />ENVIR <br />1868 Eas <br />hone: (209) 4 <br />OFF <br />MPLAINT ‰ C <br />SULTATION: <br />SAN JO <br />RONMENTA <br />st Hazelton Av <br />468-3420 Fax <br />FICIAL INS <br />CONSULTATION <br />OAQUIN CO <br />AL HEALTH <br />venue, Stock <br />x: (209) 464-3 <br /> <br />SPECTIO <br /> <br />CIT <br />N ‰ OTHER <br />OUNTY <br /> DEPARTM <br />kton, CA 9520 <br />3433 Web: w <br />ON REPO <br />TY: <br />PROGRAM <br />ELEMENT: <br />MENT <br />05-6232 <br />www.sjgov.org <br />RT <br />D <br />TELEPHON <br />R <br />I <br />DATE: <br />g/ehd <br />INS <br />DATE: <br />ZIP CODE: <br />NE #: <br />RECORD <br />ID#: <br />PECTION REPORT