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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 />CITY:\r/z3c474.0
<br />ei
<br />ZIP CODE"
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<br />ADDRESS: As-2...7 pi . c ivy iew.,/_/zi,
<br />OWNER/OPERATOR: (7)r 1 / sy, r . ._i _
<br />
<br />c_k cc/ ,(- 7---, TELEPHONE #: 47?.,__ 6 0 ,6.1_5-.z_
<br />TYPE OF INSPECTION: U COMPLAINT U CONSULTATION X.OTHER EP LIR EOMGERNATM. / 2. 3 2___,
<br />NATURE OF COMPLAINT/CONSULTATION: c.„0/e... crbi/ieS 04 e i - - .
<br />OBSERVATIONS/COMMENTS: s.f,:exhis-- 64464 kor /74. 4 euezie.----, 7-k.,---e._ 4/4r-
<br />c 11.42 4i' e_ An, r/e..-*//3 .4<-4.71--. ge.40,,W
<br />op.,," mr-akr ar---€.. /3-o- /-- cshe e-44-0 egs{ /
<br />ears, er- ‘-tr-zs 1-e 2-.4 te... --/v /-/_-/-- /06-0 t- ,440/ (Ae ,Z441-4:21(11,
<br />frv-4-# 1u., Yr Geere cl— <Poo -7 c er--(, /4-,-41 c.e.-ey1-7-4.-r-i-r; I V,
<br />We-- AC ite2- fe--- -74o /Lir r -cA-4.3- JZ, /7 e-44.1 per -"t4 .-11 4 -. ‘..24,-,-yey--
<br />hs he".41-4 co .1.44-11 4p-7.5" -fr4c.-1— . 1,-,1- 41-7.7 4,, kw ,p
<br />CORRECTIVE ACTIONS: 0:471-ai:e; eryst_de -,437<,-e ree-i-s44.:44 -
<br />e-Or-Pr_c-,-- eecul
<br />Te ‘2..,.!s e_.", aft 6ii'D c.PAL-ifC 71-1..e.- adj -P
<br />A .44.5 , .--f-e--qe....11— e4cSe_ ,es ,..-0(' a71- -74-4.e._
<br />r ai-e. Of/...3 c) .
<br />CORRECT BY: `-"ri-//4- /Pci, c,c.-e'1-t:,--‘, P_ e 95- - / ..5--_2 4-, Q___ 4-1 en ej.. t --e, "9 ,)
<br />INSPECTED BY: -
<br />RECEIVED BY:
<br />I
<br />DATE:
<br />EHD 48-05 Inspection Report
<br />4/9/12
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