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SAN 10AQUIN <br />COUNTY <br />Greatness qrows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />a l0 N Pe zz, <br />Page: 1 of I <br />Date: //ozz/,17 <br />Program: <br />/ 1 <br />ZZ / / :7- n AoRe 4,r <br />z�_ee a �6z ' Ale <br />'rs o� <br />Co,+�► �ae�i,+t�� o T S� <br />2 <br />Kms• -5 72 e-&-- <br />e n /e'l -Ills <br />/ N GL fi i+ 3� <br />/!%O/rC /''t-ilJf r✓L <br />Ser Q e r kw'y <br />40"e -ell 4l' <br />•C-ez;wA <br />vt y�'r4s 7 e o o f 1,*Yt t_ 14 <br />— �i 1 w >`/ c1� <br />cc � tom- a� L�`c ► ` <br />i`( 6 e-1 {w f U <br />.r Y 24 ask <br />61 <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 <br />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 />