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'oPqu I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> z 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ,.•P. Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION T <br /> FACILITY NAME/TYPE: DATE: 11 e <br /> ADDRESS: CITY: ZIP CODE: <br /> clS Z IZ ��enc4, �aw, 52 <br /> OWNER/OPERATOR: ` c ��` � TELEP ONE#Z51 ,.. <br /> 807 L) <br /> TYPE OF INSPECTION: M COMPLAINT ❑ CON ULTATION TITER PROGRAM RECORD <br /> ELEMENT: 52 ID#: G 1z®y 000`1Z <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> ®v) <br /> OBSERVATIONS/COMMENTS: <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />