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SAN JOACQUIN 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 />gC�FpRa <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: �It6/V f- , n 3 <br />DATE: -It 3 <br />ADDRESS:/7s-� N klynlw / <br />CITY: f /16 ,, CN <br />ZIP CODE: <br />OWNER/OPERATOR: Wlg Lt 2 K-C)rfr�?,Fj m clo 6rru3-&D i, ff-r <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER <br />PROGRAM �^ <br />ELEMENT: <br />RECORD p1'(J S 1'S SCi� <br />ID#: / <br />NATURE OF COMPLAINT/CONSULTATION: <br />is Mw f-/ �L-#2 NohCE To ftAI979: ArfvW 0/0O� �_ olo <br />(;11diN q 3 f"70 MlY -91 VWC1, Jo M�97r 1A0Af1N6 10/,6t5aoG� <br />6v11 -,r Jb V10i.11710Ad Ou ar /), 1.e/o. <br />OBSERVATIONS/COMMENTS: <br />J' Tjj7UJ CttGeq< CONOUC 100 40VA10 C mu/i / > 2 gn u- cwr,< SAV? grc7rve <br />CQ li f h! CVZ- 1"OAl r 6%1A1 Oc- 3 W1A14) ve J 1I(- <br />h�G✓EYCiL )90iV T 0461tO Evin/p(V j 1,CV7f1 W 6 ()M49150' <br />c4,vco /pilo c6;:7 /t vviCCmmc 70 /N1404-44 PA)"O n-rj cit-c,�� of sl7v� y1117- /,WA <br />(1rL)t'4t'gAa CKrCnVc; . <br />CORRECTIVE ACTIONS: <br />r0KC M,% cOfl-AcGrv'C 7iov--L' ,uc 4r'f'r&" 7e <br />wou9 tlollf1f 0/r- v7mF #P4ffI•-4 cow. <br />;U CoO J'1ri•FF 17m& /lVou/P W co m vitr W u1'lAt I. C4f6 If AT",'f-Cw /71 <br />w- WILA W" <br />CORRECT BY: /y1116VI qj <br />INSPECTED BY: <br />RECEIVED BY: _ �� , r� r <br />DATE: 04 <br />EHD 48-05 Inspection Report <br />4,'9/12 <br />