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°�"'h`� SAN 10AQUIN <br />b <br />Z'1_1COUNTY <br />c•.r "-reatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address:2101-11 <br />4 <br />Q L,o �� <br />Page: l of <br />Date: <br />121,1117 <br />Program: <br />M s+cowl. a, `%"- O 0 .,x -o1 4 <br />U SO IM I k3a A 110, <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 />