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SAN JOAQUIN <br />?'—COU NTY <br />Great npss grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: .Lo ISS Corm i2 <br />Page: _L_ of l <br />Date: tp 1-/ /) Sl <br />Program: yau; <br />�i (' <br />• e +�, f C{11C.liU <br />0 <br />-TILAI' /`�JaA <br />�� G( - I n 'a.w Q S r C S C .n� M.� iil.l <br />f d U '� <br />j <br />AAft 4<s <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 />AA <br />Received By: <br />Title: <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 <br />www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />