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SAN JOAQUIN COUNTY <br /> r Z 13(PF E . ENVIRONMENTAL HEALTH DEPARTMENT <br /> y, /Oze.ff>?r74'0• g" , Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4L/FORl1 <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> s s 1 <br /> ADDRESS: % CITY: ZIP CODE' _ <br /> OWNER/OPERATOR: TE PHONE#: <br /> �J fog' -7 5— 62�p <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATIONS OTHER PROGRAM RECORD <br /> ELEMENT: 22-1 7 ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> 126WJ21121ht 4012,17 a(01-CJUeX1 1-)J-? /' <br /> 7 �? 4f <br /> ZD Ail a <br /> CZ <br /> OBSERVATIONS/COMMENTS: <br /> 1110 �l l <br /> a"tlan 11-PC <br /> -4J <br /> CORRECTIVE ACTIONS: <br /> LCJQ <br /> o la/v1�1 <br /> CORRECT BY: l <br /> INSPECTED B <br /> 4 �s L&k— <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 6/1/09 <br />