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K ,nam _ _ �:•� - - <br /> SAN JOAQUIN COUNTY <br /> y., 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 /> 4�•�F O RN` <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAMEITYPE: <br /> �r DATE: <br /> ADDRESS' ✓/ '�r � ��7<C] ' <br /> CITY: ZIP CODE: <br /> OWNERIOPERATOR: <br /> TELEPHONE#: <br /> TYPE OF INSPECTION O COMPLAINT .q CONSULTATION O OTHER PROGRAM RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINTICONSULTATION: / ice 'w <br /> i <br /> f <br /> i <br /> P <br /> i <br /> OBSERVATIONS/COMMENTS: r, Com*- �r <br /> e <br /> Ur- <br /> ' 1 <br /> 1 <br /> I <br /> CORRECTIVE ACTIONS: <br /> 1 <br /> f <br /> i <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: C7T DATE: r I <br /> 4 <br /> EHD 4M5 <br /> 1116108 <br /> Inspection Report <br />