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SAN JOAQUIN COUNTY <br />' ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: htti)://www.sicehd.com/index.html <br />CONTINUATION FORM <br />EHD 23-02-003 Rev 04/02/14 <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: , Z,?/t. - <br />Facility Address: <br />Program: <br />No q c -Q 5) c <br />h!O C-C(,QY� <br />GLe?7 <br />dci c-ce�3 <br />o c �C l <br />I%t� Jne� <br />JGIC— Cc( R�-�f' Vd/ce. -eyJ <br />I()C 4a r <br />10C -L CQ u <br />/ <br />Jj/�Yl <br />11112-112 <br />l2 <br />ALL EMD 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 />CONTINUATION FORM <br />EHD 23-02-003 Rev 04/02/14 <br />