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LOCATION: t,s�s�' A-Q DATE RECEIVED: 11- ; (23 RESPONSIBLE PERSO ADDRESS: REPORTED BY: ADDRESS: NATURE OF COMPLAINT: • ugz.sk w2A,& w 'e-©-e : - -Ve_ 0� ���� �LS osate 0 A , (xf\a ceL c (u‘k.s‘) kkAis Q Or\ck,k 's„ s \cs_ 9Aa co,.(t.e_ (04, \f\cks L4- \.1.1c-od (t_473L,L) C 4t\ ° vc. ? W ' DATE OF INVESTIGATION: INSPECTOR; CONDITION FOUND: Ll91 J2/0t -;1; ACTION TAKEN: • COMPLIANCE DATE: e41-9