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Ug if <br />° SAN .JOAQUIN COUNTY <br />W z� 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 />9��FORN� <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />DATE: <br />�3 <br />ADDRESS: f <br />CITY: <br />zip O ' <br />OWNER/OPERATOR. <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULT OI�' bTHER <br />!_. <br />/� — <br />PROGRAM <br />ELEMENT:S1 <br />RECORD <br />ID#:�j2�'�j <br />NATURE OF COMPLAINT/CONSULTATION:Lj <br />r <br />Vt <br />• <br />r <br />G1 1^ (1 L -j <br />ej <br />Jk 6N <br />OBSERVATIONS/COMMENTS: <br />S <br />G!�14 <br />J, 4inio_4. <br />1c C7 <br />I_ = -1 <br />- <br />0 4- 3—$- <br />^- <br />I <br />r <br />/ l S�� <br />Q �• � r <br />r - <br />SZ - <br />ji'A L• d <br />zi ' , �i! -r)1 S•c. <br />17 -01 <br />(31 <br />7 <br />Va' <br />CORRECTIVE ACTIONS: <br />s <br />— <br />4V -CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: 13 <br />EHD 48-05 Inspection Report <br />4/9/12 <br />