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.SAN ....... .oc. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />�11�P., 600 East Main Street, Stockton, CA 95202-3029 <br />•.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />R•��FORa` <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: C A6/, N `S. <br />DATE: <br />Y/✓ <br />! <br />ADDRESS: % s V N1yXIW /91/L <br />CITY: f rVCK70A, <br />ZIP CODE: <br />OWNER/OPERATOR:TELEPHONE <br />kUH1IEIz C ICOi�Crl1 l7C G/c laE7:ftLtJ L/b/f7 <br />##: <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER <br />PROGRAM <br />ELEMENT: - -- <br />RECORD 2 <br />ID#: irQ S3$Sp7 <br />NATURE OF COMPLAINT/CONSULTATION: <br />CR'6 /N / 3 %'oSTEO ✓ df3J177,c10e90 ON <br />V 077,-C 70 9601E 1.rf!/1,-O roti Of/�7/o <br />OBSERVATIONS/COMMENTS: <br />7" 70T Cr�fC1c L-OAJCd17C)9 1771-./ 047C FvvNd nlu vt/v21< /nl <br />c /nl t / �R- it 2 L-/9 CK -S t2F GOv LiLtA/& <br />or, pffiN T C I?6114 3 JCC)-7e -f /1,1 x'00/2 CvAI ,n 171'01/ • <br />171ff 6 Pio Nor IWC -m- N /#7v 6 ctT/ r�"/77/zj- HAD r <br />ltd Cn1O/N # 3 <br />No NOUIiNG /Z6F/711L C)IL DCMO 1'C4M/7'r" 06MIAIM 47*7 71' /7MC <br />CORRECTIVE ACTIONS: <br />06M 4 IINc r7NOL flet f&LH/ rl )gaaY,1179 JU CaUL5L -f n1r "t3f/77NDi3jL/- <br />1-tU /--#o .r j/%)r 7016 17-JYCel#7CO IN r/nJ- C�93C 01CL 6C OlLi CV <br />til nrE CIINI-E47 /�00/ZLV A -17C JF <br />CORRECT BY: "I-JCL018.7 <br />INSPECTED BY: `far qi� i <br />s'i 4 '7 <br />RECEIVED BY: --[DATE: <br />EHD 48-05 Inspection Report <br />6/1/09 <br />