Laserfiche WebLink
SAN,%JOAQUIN <br />!2i COUNTY <br />C. <br />Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />Page: I of f <br />Date: <br />P)rogram:: y 3uj <br />L' <br />-7 1-17 <br />L <br />v.�i {o mor-% ftic �//Ow•o ��c.G..'�r <br />�' bio%r- Nc> 6u1 d�%U�� <br />w v 3 fro z 131 /01 <br />" '5-1 <br />WPW 3 `d o7/ .9 / i0' <br />L "-r <br />W 11V3 ado Bo io/ <br />17,111 -01 /o o j <br />11V>&./A1 3 //01 6 le MAP,1040- <br />ccs 366 ZV 63 <br />� r r <br />Ot <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 209 468-34201 F 209 464-0138 <br />www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />