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,oQaul SAN JOAQUIN COUNTY <br /> AVIRONMENTAL HEALTH DEPARTM T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:wwWsjgov.org/ehd <br /> q�%FpR� <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: 0 DATE: 1 <br /> 9. <br /> ADDRESS: V CITY' zip COQF: <br /> OWNER/OPERATOR: TELEPHONE#:- <br /> -'20q <br /> 67q -3326 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ C SULTATION OTHER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> q <br /> r <br /> a. <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />