Laserfiche WebLink
Pq�IN' SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />q�)FORN <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE:i ,A6/� f / Z <br />/ / <br />DATE: J z /,, c/ <br />, 3 <br />ADDRESS:.CITY: <br />N Myi�i �tv�, <br />GK �� <br />ZIP CODE: <br />OWNER/OPERATOR:TELEPHONE <br />ItifIZ�GYL Ko7fCiii 1n � ���iZfiL,O Lib�T <br />#: <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER <br />PROGRAM / <br />ELEMENT: (� l <br />RECORD /� , <br />ID#: / ��S SSO fi <br />NATURE OF COMPLAINT/CONSULTATION: <br />Cfh w f <br />oll-t IN Ir 3 /�17LY3 w �>}/ f} TIl & U '�2 7� /jyf /11F / v✓,w G .� <br />po)jocn'oA�r gvIce //,lb V,vc/ 7'IOAIJ ON Jgrl� Za/v <br />OBSERVATIONS/COMMENTS: <br />J' -'n Ti/J Wf%-C "OPP06tC0 po"jo CfltS1Ae'F t '# 2 //J D7)1E Cow -VI n-oi Ar <br />fn&lovJ dylf� vfsirs . c4gl'4� 8 2 pilo�z�,� Gt�vC i/�In �c5�.1 <br />N� <br />&66ia IF -3 / jWA/r WIN1000J fitev100ftO 114y('fi64V tom) owNOcA/Z94-VO <br />7o (Tae R ,3/tDiecTi ��/E. o�rE rtir�oo, >u ✓»i�r / � <br />k iwmoco . <br />i 6fl 10/t"4e 1f,w17bC3 N 00-140r. 0.1l fi/cab /4 :r- 12,104,11-b eoNGC/LW�AG /r,L5-01.,lii✓G vid-L^0A4r <br />CORRECTIVE ACTIONS: <br />rA�C- ^L- CoAf1.Ec f/vE /1C tl �N l pE�,E�r/ii7L�j jo /112�/LE✓J /LLS�/lir�s�,.� <br />v1o�1 fio1'1 <br />At, t,(J /77ff 17Hr 1932706Lfi1CO X/11'1 71111• #PLIJ-144 C?P.F IT /61 . v <br />1),Pv>7tiy 4077t` .Df j /LS• CyD <br />CORRECT BY: 6*714CVle —� <br />INSPECTED BY: �,pUy�✓ ���� c��� - <br />RECEIVED BY: h� f ry, <br />DATE: 12-11,/j3 <br />EHD 48-05 Inspection Report <br />4/9/12 <br />