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OPOUIN C <br />SAN JOAQUIN COUNTY <br />bw ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />\c .• P� Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />9Cikp'RN% <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: n <br />DATE:(, 6 '�� <br />' <br />ADDRESS:zZ�Z-- .S, 64+\ <br />CITY: `+l l C <br />ZIP CODE: <br />OWNER/OPERATOR:. ' j j'- 1,e <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT CONSULTATiA <br />❑ OTHER I <br />PROGRAM // <br />ELEMENT: L( <br />l /1 <br />RECORD / l <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />M� <br />F <br />OBSERVATIONS/COMMENTS: <br />'N <br />viould <br />10 P�- 5G +- <br />On, t✓ t <br />1` <br />• \n <br />00 2-004 <br />A(cceco. i. <br />CORRECTIVE ACTIONS: <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />oujw <br />1 , <br />DATE: 0H�t-1 <br />EHD 48-05 Inspection Report <br />4/9/12 <br />