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<br />INSPECTION DATE: ~~-j -C5p INSPECTOR'S INITIALS:
<br />OBSERVATIONS
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<br />I & E Contact Address
<br />n JAKes ~`(~tTeaTS
<br />NAME: 7'~ is rrA-C C /3 ~ C cr. ^ CE
<br />~a ~ I< e.oJ kLC`~ ^ BL
<br />OPERATOR:_ C-~2,Q2G~' !F>r- P t F(C `.CSRP ,~~u/1,1 ~ C°p/~, ^ HW
<br />STREET: I3.~ P dl'I.:tY`!{yo ST /lJ ~' ~ o- q~ 33~ o SEMwMD(cH)
<br />CITY/STATE2IP: A- (`-'~/.~-N ,y-a G~, ~ ~ ~~8 S-~ Le O.~P~X I ~ ^ W CD (CH)
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