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°P4u�N'Q SAN JOAQUIN COUNTY <br />—r ? 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 />F0 <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />Gft6/�l 3 A C.nzS1� / A Z <br />DATE: <br />o, F 2- yl2 <br />ADDRESS: <br />CITY: <br />ZIP CODE: <br />OWNER/OPERATOR: A117 7M X0 Tf�c7 /-9 6/0 G 1-X&Ld ub <br />TELEPHONE #: <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATIONOTHER <br />` <br />PROGRAM <br />ELEMENT: <br />RECORDn <br />ID#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />C4150,1 7P 3 PCY7zb o f of o <br />OBSERVATIONS/COMMENTS: <br />OWE Gdff CO3W91/C1L57 rroUND C461A r Jr771,c tv17?}oVr P/10TCC7/vr <br />CovawAlt,r o2 PI77A/T W114JOW Tb dBtS/,AJ f-3 6/ KM -J. <br />-y —//oo (-39 6(ff 111�f 1 %L <br />y Cataq 9. vroxF )D "il . &rfi4CD "&b 7T 7D- /Nl)/Zf--1 ofUP��.✓i/.�-� Pi11-e-1/0 <br />,Dl11E O/- b4C7I" BU/LO/tib P -f✓I1T /7 Lf V) I-- 0 7U ,t'ON > T 777j <br />ON&` etc llcalle l 121► co/211115-C-rcp • �2 ,on a -'I -rm /l -r E,, vtj ov I 2-9 <br />CORRECTIVE ACTIONS: <br />P),1/A- LSCAfTI" dUI�.Din� P[Y►�1/T <br />ML a/1,tM /fi7 7/ CV22t5�jT #0/r2j,y Ail-rC- of <br />7.00. <br />f:M-Ulle y`O &W" ,t2MIF- vV1Q AC,(UL 7 /n/ PV C Ve of7ti4 <br />&Cr-fAA,tb 70 lir l rJ G ,p c/-T/Z1C 7 19`17011Jf QOFP7C•67 <br />r-L�&I-PM �� /LG��lCS✓1- / 7iq✓ <br />CORRECT BY: /7 <br />INSPECTED <br />INSPECTED BY: " C <br />C' 0 7�"w <br />RECEIVED BY: .- N <br />DATE: <br />EHD 48-05 Inspection Report <br />4/9/12 <br />