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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3433 Web: http://www.sicehd.com/index.htmi <br /> CONTINUATION FORM Page: _�. of <br /> OFFICIAL INSPECTION REPORT Date:uyld 4 <br /> Facility Address: Program: <br /> c <br /> cezo AL-Y, <br /> of C4 it <br /> FEHDsALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> pecor: Received By: Tspecitle: <br /> t <br /> CONTINUATION FORM <br /> EHD 23-02-003 Rev 04/02/14 <br />