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p44UlT SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> i.�l.�. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> '9��FOF <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: C 0S4_aTKa V_ 1 A � La I i/� S DATE:^ IT/7-0 I Z <br /> ADDRESS: 1'5 �o c.J rf`MI L..( C. CITY�LO G�L� ZIP CODE* <br /> OW NERIOPERATOR/: �I ' n ; I 7?J v IT.�C. _( �l TELEPHONE#: l/I 21 _VII/l Q(- <br /> TYPE OF INSPECzION: ,❑ COMPLAINT ❑ CONSULTATION THER PROGRAM r7 2 RECORD'(b0 pS/-TST 3 <br /> !'� I S r •^ ELEMENT: ZZ C_�( <br /> ID <br /> 1� Z <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> JJA 12 AA <br /> X dJ l ryl . <br /> OBSERVATIONS/COMMENTS: <br /> lc r <br /> I <br /> r. ete <br /> D DA T 6 0 <br /> ►-' # O <br /> Cemmmffl-VE S: vp'&,tS <br /> AZ_asz�sJL / <br /> r <br /> o 2Q 1 Z . <br /> CORRECT BY: M <br /> INSPECTED BY: �,e� ( :r-e r-n <br /> RECEIVED BY: "TT DATE: I/ / <br /> EHD 4M5 <br /> 4/9/12 Inspection Report <br />