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°`"",.C` SAN 10AQUIN <br />Q <br />N'ry= COU N T Y <br />\' Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />// <br />///SZ S Cc�ivo moo-• �� <br />Page: of <br />Date: /zlii/i <br />T <br />Program: <br />/17 <br />=r► S <br />ul Gi+. ei ,cc.� li :� • e�., t d cc <br />ALL EHD STAFF TIME <br />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 95205 1 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 />