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AaUlk SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> \� Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> R�IFOR: <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> -jQ4,U �7 l <br /> ADDRESS: CITY: ZIP CODE: <br /> l � Flt4 z I -'I^ -3 6 6 <br /> OWNER/OPERATOR: // TELEPHONE#: ( / <br /> G��IiL 64' 7il) $�7�-21U -7 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CQNSULTATION ❑ OTHER PROGRAM RECORD <br /> .1C`� ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> I �0 SrcPn Civ wv�d <br /> il 14-,ovj £ <br /> OBSERVATIONS/COMMENTS: <br /> CORRECTIVE ACTIONS: <br /> �. �Ly C ' G "✓ CljYr .fig �fii^ d <br /> CORRECT BY: <br /> INSPECTED BY: r ) 10,4f <br /> /,4f&j1A <br /> RECEIVED BY: � C / DATE: <br /> G� �1Ylh/ <br /> EHD 48-05 Inspection Report <br /> 6/1/09 <br />