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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />IA a Irv,. vt ') of ,.. i---t / <br />. 1 <br />DATE: <br />116(31. 7 <br />ADDRESS: v <br />L iA (, cA LA).. 14--14)/ q`) <br />CITY: <br />L ' <br />ZIP CODE: <br />(7 <br />OWNER/OPERATOR: <br />c-k_ a tt (4,‘ (lit tm4,1-0,-L_ <br />TELEPH9NE #: , ,, _ ,- <br />Lip i _ c.-3 6,1 '2 1 <br />TYPE OF INSPECTION: a-COMPLAINT 0 CONSULTATION 0 OTHER PROGRAM <br />ELEMENT: ikrt t),) <br />RECORD <br />ID#: ,,,:_,.I.,) .5-41- •zg -S. <br />NATURE OF COMPLAINT/CONSULTATION: <br />5-tf -t-i _ ro-v, 14- is r-1,4-i4 i ...(...„,2-4.r- 644-1., 145 t,,p i. wit) 5‘to---1/40( <br />OBSERVATIONS/COMMENTS: <br />- lArk--L S.4f I---t Z., . i tAtd.k 1..4)a-S F Lii,t...-riL 0.4:1- ov\ A i /Z 7- I-- Yl-t- r-14_14 0 l'' <br />t-4) AO- f rt3u4. ...g.- . YV,t_ t l.-..-"L 1— ',1rZ, 5 5-5 ( t.(.)) _krt.) <br />at, -14-td-ti Co ,r irt,t_ •-i- 1 t a.. v-_ 71,--c i 1544- i ,Ly,5t-i-t-L <br />ç-t-va-t r cv-.,i,t 11,--c- -5-tf 6 t_ 7a.1.4 fc. r1A-t__ i> f3.‘>y t 4)liz > Gt>1.4.4-0.4.4 ... <br />vo 0 5 tki-e.:0.-4 ILLA,57.'1 ,..) Ca (-v... C. 6 5-.0-4N)4. 4). 01\4' , <br />o 0- rAm-- 4(4(041). (iz4N a/cc_ CD rr.e-e,,,lreik - <br />CORRECTIVE ACTIONS: <br />"1---i-4-i1 Nn-gV A-64---tf <br />CORRECT BY: <br />INSPECTED • <br />BY. 't-ii nr•--- l'' <br />RECEIVED BY: 1.1M-AgL4- 6" - <br />.10LCA-rc> A 11,604 1 ‘i Lci 4') 144-46 - C4-1 VII <br />DATE: <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.conn