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SAN JOAQUIN COUNTY <br /> Q. a ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: < <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �. P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> do <br /> FACILITY NAME/TYPE: _ (� � DATE: �1Z- <br /> � ��13 <br /> ADDRESS: / i /� "1� - `� CITY: �C /nn ZIP CODE: <br /> `� A V ` ( 1 1 l/1 ` <br /> OWNER/OPERATOR: TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM -ZI RECORD? <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> D <br /> 5 --.�1 / <br /> (/� r '""'�-- L v <br /> l 5 y1, LALA <br /> OBSERVATIONS/COMMENTS: <br /> MjQyi Jar5 <br /> x - © <br /> e — P <br /> (CJ(Cmiq a " f <br /> Sl P <br /> S U'wt lot <br /> �Y ' h <br /> ( � 1 C Yik '-4 TO IQ w <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: (/ C� (✓tc �`�_ DAT�: '�.g � 1 <br /> EHD 48-05 Inspection Report <br /> 1 <br />