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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:-httlp://www.sicehd.com/index.htmi <br />EHD23-02-003 Rev04/02/14 CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: - of/ <br />Date: i/1,, <br />Facility Address: <br />_ <br />m• � <br />Progra3,7v <br />w <br />r� U <br />Gzv <br />Z <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT <br />THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Ins o� <br />Received By: <br />Title: <br />ii <br />EHD23-02-003 Rev04/02/14 CONTINUATION FORM <br />