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SAN JOAGQUIN 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: /p`91j7 <br />Facility Address: <br />Program: <br />i' o <br />« <br />iAMILk <br />YCV d <br />cL <br />0 <br />cif <br />I <br />aA -77 <br />13'Z5� i�lSM�i 2 u <br />r <br />.SAND 5 <br />t-4, <br />ll <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 />CONTINUATION FORM <br />EHD 23-02-003 Rev 04/02/14 <br />