Laserfiche WebLink
Lk <br />�-2 <br />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: http://www.socehd.com/index.htmi <br />EHD 23- 003 ev 0 0211 CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: <br />Program: <br />� T <br /><,-ta�ut3. nor - <br />Oq 41 <br />all <br />I C, <br />- I <br />X �� � <br />:. <br />C e <br />II �\\ <br />ClL ( <br />( CeLt In A <br />_ <br />c � <br />r" <br />IL i S ' VJ <br />Q car"4 <br />c i f <br />c <br />4-',cy\4114k <br />r1� <br />ar <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 />EHD 23- 003 ev 0 0211 CONTINUATION FORM <br />