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PROGRAM/ELEMENT TIME OUT <br />30 <br />AJ t /€- <br />- <br />f^ce.■e <br />t t^e, <br />(£)aJL •'V'-/-X <br />Q.WS.S <br />AJ. <br />Z-cn^/-A<^€ ‘ <br />RECEIVED BY: <br />iALTH SPECIALIST <br />PHS 177 (4/96)PAGE <br />HI <br />The marked items represent California State Code violations and shall be corrected as follows: <br />ovt t ~ko k t t re. <br />SERVICE <br />^<Aa.77^->£ ^A£(LT> €>^J <br />4^ <br />Lg^2S£ <br />£44 <br />PROS NUMBER <br />TIME IN <br />NAME <br />&£c-L- <br />LOCATION <br />^.300 E. EldlAT <br />MAILING ADDRESS <br />OWNER/OPERATOR <br />nz C-/~T <br />ENVIRONMENT? <br />L r e z ~ <br />d^r^ArCe-S- - <br />SMALL v^TER SYSTEM OFFICAL INSPECTION REPORT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVENUE, PHONE (209) 468-3420 <br />aMaaattSffi, STOCKTON, CA 9520MSB& <br />s2>ac^ 0.-4 -g cz-g- v-1--, -rfy ^tje <br />3^ 03' 2^ 3 ” <br />z^r /?' n -o" <br />RECHECK DATE <br />(jutrce l—£)C^Ci~h <br />OF