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>�p SAN 10AQUIN <br />{' COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: 71J 7E ' �ta "�'d <br />Page: t of <br />Date: <br />uc �St Ale- l lo r+,:.4e- f <br />l <br />Program: <br />'oz = t� <br />l s Io = f <br />I-lole 3 zo 3 4j Z 7 <br />A z 13 <br />61e 7 3t't'3 //Y = 9' <br />/,f u - 30 <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: <br />Received By: <br />Title: <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 <br />www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />