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fp,QU�N� <br /> SA NsJ OAQ U I N Environmental Health Department <br /> COUNTY <br /> CONTINUATION FORM <br /> Greatness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: r, Page: o <br /> 0- I (� ' Date: 0�I �- <br /> Program: <br /> 010 Cq I � - <br /> wit( o,. t — 13 <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 END'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />