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_' SAN JOAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />J <br />Page: I of <br />Date: //lLzb7 <br />Program: <br />// lzzl2eyly <br />IF <br />Jii e_d <br />e., <br />W <br />ZZ,� <br />36 <br />/x 2, /i2 ,` rid I �O I• <br />v�7� <br />x'14 <br />/ <br />e c_- t,- k-r--,A,1N- <br />AE P.,ft P <br />Al ' p <br />uk;,P,- W o H -w <br />/ <br />ALL EHD STAFF TIME ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT <br />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 95205 1 T 209 468-3420 1 F 209464-0138 <br />www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />