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oP0.`' I " • <br /> o SAN JOAQUIN COUNTY <br /> >.• �, .6 <br /> ,TOO ■,,���� ,��� DWA ENVIRONMENTAL HEALTH DEPARTMENT <br /> N . 1868 East Hazelton Avenue , Stockton , CA 95205 - 6232 <br /> ` Telephone: (209) 468 -3420 Fax: (209) 464 -0138 Web: www , sjgov . org/ehd <br /> p • . • _- �P <br /> A � 1 FORS <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE : . t DATED <br /> es�n Od rm too <br /> ADDRESS : CITY : ZIP CODE ' <br /> X032 0 <br /> : <br /> OWNER/OPERATORr TELEpHO E # : <br /> C�I� 3ll-(v - g232 <br /> TYPE OF INSPECTION : ❑ COMPLAINT ❑ CONSULTATIONX OTHER PROGRAM `` yy RECO�RD <br /> ELEMENT: Z w / ID# : 7 ) UOD / 7�5S <br /> Newsman <br /> NATURE OF COMPLAINT/CONSULTATION : p • n • <br /> On S/ F Q <br /> orm <br /> the y1we ) y SS 171r ivaizI C <br /> a;F i iwi il billed e pwoz' oar <br /> Moslem <br /> OBSERVATIONS/COMMENTS : <br /> MintsS. Gt L7407L <br /> l o z ,(e <br /> 0 <br /> .L)!2wellywoelA r/ <br /> A/ 0 SUMOR r s f ' <br /> CORRECTIVE ACTIONS : <br /> I Wo <br /> :00d � ' 20 <br /> X) 0 0 if3l rQ d' e i' iad7a r. I s . <br /> CORRECT BY : ssz fio d/CL , MENOMONEE� <br /> INSPECTED BY : \r&r&.j / q) 4u <br /> RECEIVED BY : u / , l DATED 6 <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />