|
FACILITY NAME/TYPE: N{\13,„ DATE: 1
<br />\
<br />r, n A ADDRESS: \ oni..) ‘;\ •\, /0 I-41/1)1 61°1
<br />CITY: A
<br />11- (4_04/0
<br />ZIP CODE: /7
<br />73-2 2 c
<br />OWNER/OPERATOR: u , 4, v_
<br />Cck_5 / ' (Lylv,e.
<br />TELEPHONE #: (,
<br />201)
<br />TYPE OF INSPECTION: 0 COMPLAINT 0 CONSULTATION pa OTHER PM
<br />ELREORAGERNAT. I) Cc c
<br />RIDEocio. RD ("0
<br />NATURE OF COMPLAINT/CONSULTATION: ro / /0 LAI L , V 4x- (211c,e.le we..s di, 2-04,-,4 r ç4 t1
<br />ti- L( bL,6 I, L ....,1 C t 4 / Syi le-A_ ,
<br />OBSERVATIONS/COMMENTS: ,q-er,' .1 4) c).--1 ji e Nt A ...1 cez5, (4,11i (Vii_c.-1 4 I 440u/teti g V
<br />U ‘ 64 i 9 ir ez.lic 1 i'n,i/o IX ' er-giii a h (s Lc s'4 g .41 ne e i so #1 PI s'„'yie v, / 71- 0 (vervLe_ef
<br />U 0 tAN-tir Do 1'6 %44. 6 uutkOrtw6A-Lic eb.ii sp ,,, 16,4 3 ro 4,, , vit_CA 0 1:0 0 -(. du)
<br />Q-Z s q5 ic-e_v\-.. .1\)0 Se Wey DtichrS gbgg A1.0.1 , 100 CLIE4tok, ce L., e
<br />SLt.1-4-t5 Lin ip e s.-1- c.v1-t, anzil 4; S t LASIre ( rlaSL).-‘ 07 4
<br />lice ik ,4.4 5.44 Ali ca. 41, (,,,,,c,„„k A, (.ik...v,i1 O'
<br />r\ 0(.4iI\ Vde g- YVaktk le‘0101,Ni rk. 1-110 it tlo 3,/l, 45 P ill vi/c.11. 0 Aito 115s L4 z .5
<br />(49.,1-1144, V 3tx 1 ke ,', ,1-0 44.40,r NI 1-14 Q 14c a ok _ec iived -Iv ,' le-±s 4e,G,5
<br />.)ILL,51A4,11 kA)Vk, =yvv 46 te e 1 4(.,) eci itiP „166 a ,I e ,vi ogge.
<br />CORRECTIVE ACTIONS: k)14
<br />CORRECT BY:
<br />INSPECTED BY:
<br />("1.4
<br />RECEIVED BY: er , i4 ryia ryi Iv Cik7,-,1 -/-67/ -
<br />DATE: / / 2 6 /z 5
<br />EHD 48-05 Rev. 10/26/2017 Inspection Report
<br />SANAAQUIN
<br />
<br />Environmental Health Department
<br />COUNTY
<br />Greatness grows here.
<br />OFFICIAL INSPECTION REPORT
<br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
|