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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE:DATE: <br />/4 il A5 r3---0,34 4-6,4,,,e-. <br />ADDRESS: 17-7-2.5 sr) <br />k/!j -Ctr(\ -• ‘..." %.- <br />CIT A lc-royi ZIP CODE: <br />OWNER/OPERATOR: c h r is -h A a_ Pine TELEPHONE #: 5-70 27o4, <br />TYPE OF INSPECTION: 0 COMPLAINT <br />4 <br />4paILTATION OTHER <br />2-4 in LA t <br />PERLEOMGERNA,ITVI. RECORD <br />ID#: te, gt --Ail <br />- <br />Mb tor _,s : 0 <br />Pi trAtuRc,,ofkaamp4,AusW4SONetri. ion' 1r .....! <br />C -1'6 ' --AAZi ..e. * 1 - .4 WIIII:atil 71.0 ,41144 <br />- i ' i _ 4 '-‘0111gi1V-7 AT r nir 1 1 -14117); WI •.irigrligrAIMPI. _ <br />,, 4 a p p• -461111.P.ffgaila II WAWA WarAINIFiralirV <br />vs ,iia-=a1IF4.4avai9.111/11tillilliOr.muirirwirmanzr.arfai wog semi 111,21±_111PW---Mtlreilliir <br />101,7"VAPIIIIKAM- Ar47411 .41"47aWiraffAiltr <br />-; iv i MEffif 1 Art r c 1 Wrifi vi Tr ENV r I ,..4.-Agem • .4.;.......,_-:-.z.:-.mrife.477g=r14111 r 0 ..'.1i f "Tr: <br />if. - oh; 4raW171-41 DVS NOW1'101497030TONDIEWIST •2 A 0 ik_e P P5o5 2-5 i rt tAi i o I IP _ * <br />Wet, eJ(‘ fl 6 it ° CoA Wfr 11 euil 4 ok-41 It. '0 3q7--5?. - iv 1 I <br />CE. 1g0 et."" JQirlYrrt i(tel_ OS .•- el-C4-: <br />crL1 C -Pie° 5- -CY-f-•g---& <br />I 1._ T------ ( 3 ,64 I": e 1: 9-,,cie: C'e 14—fi <br />k wct-620 g .c,--, cPfr .fisi,c 1 Z0 c . DrifearA- 32-, Or' 5/-1 T/ /1, <br />/ <br />1 <br />V ,f_K- AS vitt A 0-t,`-„di 0--:s(5. ocZr Pt cu- e ti • r--+, 'V ... <br />4-Apffrtiqrme•miteriotpa; - t t . , C.0 .100 0,._ -1 <br />tireW*. 'It •) rt Ce') 0 AP 1q-k-EyPO r-J-5 4yE) Yk_ <br />NI <br />a p <br />aft l -eCe <br />0 4-1 at Uje<#1-r- q t-FF- c4--/ kiAko,-- <br />0 4/1 omsis ty ?rboi (1-Q_ too -(63F- cgivtlikci <br />°mita ------/ -eLeA4 <br />CORRECT BY: <br />INSPECTED BY: .----Nry <br />RECEIVED BY:P 1. <br />AAACO' <br />ry,„frtA7LniA DATE: i /L3 /Lc <br />24- 2pection Report EHD 48-05