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oPQ�I" SAN JOAQUIN COUNTY 9171 9690 0935 0084 8430 71 <br /> 2 r z ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q• <br /> y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq ;P Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �%FORS <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> 2 <br /> ADDRESS: CITY: / �� ZIP CODE:S 2� <br /> 7--:6 � Irk r � v ' o <br /> OWNER/OPERATOR: n� _ r n / TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION J& OTHER PROGRAM RECORD <br /> ELEMENT: Z-63 ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> OBSERVATIONS/COMMENTS: <br /> oU !Z <br /> 1� rl,- ; <br /> 4 <br /> fes . <br /> CORRECTIVE ACTIONS: <br /> C <br /> t'-5' <br /> r � <br /> - <br /> CORRECT BY: 1-�1Ar4v�c��i � <br /> INSPECTED BY: —�• <br /> ✓h'i�l G�S � ' <br /> RECEIVED BY: m,q; 1 n DATES` /57 <br /> �7 <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />