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SAN JOAGQUIN 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.s'cehd.com/index.html <br /> CONTINUATION FORM Page: j of i <br /> OFFICIAL INSPECTION REPORT Date: 4234 <br /> Facility Address: �l /V� • e �C ,v y P1 o a C4 S c./< -, . Program: <br /> L <br /> (Lr, lni a <br /> no vih rneh Com, h e <br /> ha,� 1/1)1Com' c/v�— Co cc,4 � <br /> kAl" jW p c. a'h C4 vi <br /> v� rw-e, ` 4 '4 <br /> (..e"-L ' Com. C4 lI CL."CC s c& <br /> Cl <br /> ate„ 0 n a 3 <br /> ALL 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 /> EHD Inspector: Received By: -- <br /> Title: <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />