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/QF°"°r°�� SAN JOAQUIN <br />t 4 .-'1 COUNTY <br />`` Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />o ice. <br />33 APAe <br />e- <br />Page: i of / <br />Date: i:Is-I, <br />7 <br />Program: <br />2 zcs.17 <br />Zo �G <br />1 <br />�u C er-��• 7 <br />i7r eC�� . q S C� r <br />0 wa lx - <br />7 2 J <br />— �d � � m, • s <br />�/ �� rwJi <br />f� `rd�,� G, � <br />�!/moo <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 />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 />