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Pa��" SAN JOAQUIN COUNTY <br />�Q. .CCG <br />r —r,� 2 ENVIRONMENTAL HEALTH DEPARTMENT <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 />q�iFpR� <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: j F0 <br />DATE: <br />ADDRESS: n'S J, 9 fwCrl- <br />CITY: fro%(� <br />ZIP CODE: <br />OWNER/OPERATOR: tv'Nm'T %'0'6/wL)1\1 <br />TELEPHONE #: <br />TYPE OF INSPECTION: A COMPLAINT ❑ CONSULTATION OTHER <br />PROGRAMjj -7 <br />ELEMENT: 1312 <br />RECORD .. <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />NGS �'�✓k�v CSO � /,( Nor vnzvAv. <br />P19flW iVd?� 9 I-OrlCf 2 lrW42, /a /h Ore: JfOWIAIC X P11W&i-Slc-rte/ bdIwIIIAI <br />V1001/014X &rj c),f Ab 70,f�• <br />illr WIT 6�60iltfW D� / /3 /3 _ JS0rJT cl#)jj! u/'k Irwa C00/ZCIL-Xy fl"5;U"T2 ivL5J0c7t' ✓h'/m <br />OBSERVATIONS/COMMENTS: UA(//F fI'60 X-4 OkLwa- /ro J`LzURE n/c 1A0104" 9 czm- vP P/AT9 Fr <br />'0j%ra-f • H/1 • ✓w,(N 1)//'7/ otcoqm ^Kr -0 IAIJ )U j-f%01,C Pilv/471417 cvrlil doilf�/ <br />/Al•JIWO 01` C/h&M rfWef Ott, -461. l,/' CO3qGa1*j /Hifi" ice wove J&J -1 46n ?GIplf <br />/ZCzUfC l0i40ta"Co UN /z-//(-//,3 �vvc� �P ✓��i/!.rj ��1r1 QUr� �✓ <br />1'54"-R1 X fhiV roJ.. <br />NO Gtu ol'Li�i�� <br />�ol�q Ijff->i J& /2,,v t,&,r "0/471, ,V L)Vt !dC'L 2O, j/3 , i K/J'/n/G u8'f ✓C� rig c"zJ <br />Iv Q r JMVPR" /6, 20/3 . <br />CORRECTIVE ACTIONS: <br />r odrfbAt 19)4,0 A001A^ u� pe�lno r�U�t ,�G�t �T �n/L <br />JIM. <br />z OSr(7714 11 -NO Fild/iL j109P(, pC✓I,r-f1,-,71o9 P��iT f�jl ,rJc <br />,`540 /11QA1 /vl L,W /7X IX-gc-b7 %/7 <br />At rw f5Y; izHW lirlo/nw vi r//1 a xli-, b /P <br />r1E/Lfz�S <br />CORRECT BY: <br />4�4 44 <br />INSPECTED BY: lvuo �., . L, <br />RECEIVED BY: n � <br />DATE: J2� /3 <br />E H D 48-05 Inspection Report <br />4/9/12 <br />74 <br />