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a,�aulM .c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> =! •;{ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> QCfi`OR�; <br /> OFFICIAL INSPECTION REPORT <br /> FA ILTYN ITY :r� � �� DATE: <br /> ADDRESS: �' C Y: ZIP CODE: 9 <br /> f, C- I <br /> OWNER/OPERATOR: t.4 LA a1 11 TEM#' —`41 <br /> TYPE OF INSPECTION: ❑ CO PLAINT ❑ CONSULTATION THEIR PROGRAM el RtconO y <br /> .�._ ELEMENT: `j ID#: 11 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> CjILI <br /> _. <br /> OBSERVATIONS/COMMENTS: ihw GP/V <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: � /�_ �� I DATE: <br /> Inspection Repel <br /> EHE 48-05 p pe <br /> 419112 <br />