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a�CL �� SAN JOAQUIN COUNTY <br />�.• .oG <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />:. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />-5V-'P- <br />DATE: <br />31 z � <br />ADDRESS: i' ; �t� r,z`a* i l vy (� _ f <br />` 1, C KG�I <br />CITY: T� <br />ZIP CODE: <br />OWNER/OPERATOR: <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT�CONSULTATION OTHER <br />PROGRAM +�� <br />ELEMENT: �`/ <br />RECORD <br />ID#: 5aQCJ�'jC _ Z� <br />TURE: OF; ONSULTATION- <br />1 -A L)�' , 1f7)'f&(X--fAq <br />C) t/" <br />c j - <br />OBSERVATIONS/COMMENTS: <br />i 1 1 5 1�.1 Tc fri <br />, CLY <br />52 V�. rv\.- <br />7g3 V -e <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />X1.1 <br />DATE: <br />'Z5 �J <br />(i <br />EHD 48-05 Inspection Report <br />4/9/12 <br />