Laserfiche WebLink
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.s'cehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: � 2 - <br />Facility <br />Facility Address: //37 Domle7l'F(4 u 7),.. <br />Program:/ i <br />�/ <br />r .,- — 7" <br />ee' ve- <br />PT- <br />7-- <br />8' k -ea A. <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: —7 <br />Received By: <br />Title: <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />