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ulN''� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • P Telephone: (209) 468-3420 Fax.(209) 464-0138 Web:www.sjgov.org/ehd <br /> A��FORN� <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: r� <br /> ADDRESS: , / P�Pto-) Ave. CITY: -7 ZIP CODE: 9S 2- <br /> OWNER/OPERATOR: / TELEPHONE#: <br /> -/-4w W. S R a-c 4e e-� fI /�1 $ //' <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION �' OTHER -"PROGRAM 1 RECORD <br /> ELEMENT: ✓ ID#: 7p-,a5-37 <br /> NATURE OF COMPLAINT/CONSULTATION: r r tj <br /> OBSERVATIONS/COMMENTS: ,�r� r4Skr ye e,e -ds ri <br /> Cl,-�n ee- tiou 2.. a A,— a c---r— cti cxrg o c✓�.P <br /> 0" <✓i•eo(ae.v trio! Ate+ - o/'oo n, /,5-80 cC • D-0 "G' AS <br /> '60c�eo( ciF ifs moor' vim/ 14-vt / dial izo/- /mss eco <br /> a.0 ssylwec m ee i h otiose <br /> CORRECTIVE ACTIONS: e�SGl4-'tG <br /> ® ale nem Qom .$ <br /> CORRECT BY: �c>C ��iQ 1��5 :l fTr 7 <br /> INSPECTED BY: C ' <br /> RECEIVED BY: DATE: <br /> EHD 48-05 Inspection Report <br /> 4/9/12 <br />