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e'4UIN SAN JOAQUIN COUNTY <br />Je 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 />OFFICIAL INSPECTION REPORT <br />FACILITY NAMEITYPE: 0 <br />ly6l,,, <br />DATE: O�/13 /2 <br />ADDRESS: /7 53 N M)196lI OW <br />CITY: �� <br />ZIP CODE: <br />OWNER/OPERATOR: 41#t'.rCe c Ko rFcr< / <br />TELEPHONE #: <br />TYPE OF INSPECTION: XCOMPLAINT ❑ CONSULTATION ❑ OTHER <br />PROGRAM <br />ELEMENT: l3 � 2 <br />RECORD <br />ID#: C- O0 C —35 , J <br />NATURE OF COMPLAINT/CONSULTATION: <br />GOf?1ougi.4lr m4r/FcvoAl <br />C,g6lAl e / - /-tOH/t0C-7e vtiu•9r-r= "vwi. eolVoi>loNs <br />G/9�IN ff 3 - d",eC� W1,40,V r -r NO 6177,rInOC" ✓'ic,K do �r'i1FG�'ROu� <br />/t, d EOA001 /jejq� r �Jr <br />G%%a/l) If j✓NK 7/Qftflf <br />OBSERVATIONS/COMMENTS: <br />e:rEa/o/z /-1wt0Fc?70N CA«- - U4,6c-r 7o vmllov cotiPt-mAtT iht,Ebh''1ioar� <br />Of /,v #: / 41 CIX/"j 3. <br />o &fC7W1"i0iJX r -OXO i,U Tv w wd IL�7� ✓E <br />Gfi�S/N l ' UNA� c.SC /L�/Z/O/L �,ff liter GO+/GYLr,,/(o /��Ta/T. <br />�llz5/rJ 3- ,5 Ao0y C -N sV/r/ov PJj• , J/ T 6erty enj cet liJ 90:, 3 A c/1116/../ .3p <br />/r/ Rt5ft <br />D"Ca /14D/c1-fco OvAmb M4 omc.& V017- -7,1m /lr 1590 mr-C •1J/LE Klti'> m f/�i c%!' /�V //LCY' FA2 ,c. <br />CORRECTIVE ACTIONS: <br />/? ewl4NI Et -o ar T /NUPE -C r/o1j VMI" -es CO/f <br />C^IA( 3 1i2f7-CO J'v4J7,97V0i7/W o,-/ O� =-XV/0 <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: 0 7/4 5 /L <br />EHD 48-05 <br />Inspection Report <br />/oF <br />