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Poa '"/ c SAN JOAQUIN COUNTY <br /> �.• L� •.oG <br /> -` ENVIRONMENTAL HEALTH DEPARTMENT <br /> �.� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ..P Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> q�%FORS` <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: �; '� �' p U,� '�� DATE: <br /> (7r <br /> oL <br /> ADDRESS: �G CITY: ZIP CODE: <br /> /-J/G S JAL>io,k/ f31/�1JU r- AGK Io,.J <br /> TELEPHONE#: <br /> OWNER/OPERATOR: <br /> J7ot2n/" 2 gocy grl- 1/11,61W <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION. OTHERPROGRAM ) RECORD <br /> ELEMENT: /-5''=2 ID#: fA0S3 <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> J`fa „ ��rno ;/��✓rA�i� 09 1y LO/z <br /> �oAlcD pt h(O[ll��l b Op°Pcs�fiis / lo[1J7io�1 /l /J - 36 047 ar i1' 20,+3 1°.t s wLw <br /> Proms M -www 4 r /0 arzrl 1'o odr4)v ft xwlwt lwlhl. 0/ P"C) P6z*v-r /JNo <br /> 130O�i 7'0 Co�c> t1, vloc//>>o/w & fi ern- 'V�ullx- P�O17. <br /> OBSERVATIONS/COMMENTS: L017N1//JI f'*2✓16E COMOUCrAg R CONI`l/An/T INf" <br /> Co l*l b2 �� n/i ntov> Po vfl� &tiJ >OR. 0611 v nc0cr XonV &r R>c,coW4 : <br /> Zy <br /> M # d/1, X4, f •E GOA,! ( //� OM✓``Y�IM 6 F#W 4%FO "0 ,• 01t i!Y of G?1t,eShB E <br /> /J YfM.O I tiW(,tr+-L406bvJ 11r7l r V`GR rrA14V //J RCS'+, of JM"e ✓rW 'CJS w r'fip <br /> K' 401W499 NOKri/In, ✓'lOE 47000 9, OVI/V0100 &Vf Off. 'PF0 '�i9 � kr 4wo d 0~ro. <br /> RowL 601W 00011 1r 7007 C0A4'0LC�Rd dfu/iZLio. <br /> d1fo "R„ Partw Iv/A/ A A,07c,-, to acv". <br /> ,rte "m W1/V fI /Wnrc 70f ✓rAmoor Iblo v(11116 . <br /> -1117! 17,110 <br /> CORRECTIVE ACTIONS: <br /> p670►N IIAW fiN/jL kE-CrlAoCft7/11- o1i OZl'lo M'04/1' <br /> - -et4j" Mt, 0P6N/NhI 70 v'YV " ,q J'n-) 'C :. <br /> ,nz� �il►'I �� nHt- /ti"foGr��bo r�/�t mgr tie�,v'��c ��= �• �s/��cso <br /> v r w1fir/r hi:vul A016:' .O` <br /> CORRECT BY: 10 S,9OtrY1/D/1 +e 13 `.4 <br /> INSPECTED BY: � <br /> RECEIVED BY: DATE: OA L/ <br /> O <br /> EHD 48-05 <br /> 4/9/12 Inspection Report <br />