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SAN JOAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />z -y' <br />/Yla I� %� .�'-.r <br />Page: L of <br />Date: <br />1411 5' <br />Program: <br />eel to va-'-� - <br />,- <br />e. <br />64 t� <br />a� <br />// e- <br />�J <br />ALL EHD STAFF TIME ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT <br />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 1 www.sjcehd.com <br />EHD 23-02-003 Rev 10126117 CONTINUATION FORM <br />