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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:-http://www.sjcehd.com/index.html <br />EHD 23-02-003 Rev 04/02/14 <br />_, <br />CONTINUATION FORM <br />,CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: -,�)-,�-( <br />Facility Address: �(;���tl(�� �� C <br />Program: 5 <br />l` <br />S <br />+C) 'S 1. ` �c <br />rn <br />L' iil�l Q Q (A v <br />U <br />m k -I "sot- ( m oiota <br />m it;� <br />n I Q f C �Ci -n4�eA l� -- .-.. <br />U- <br />1 OLA -0 MN�3e Ali 4-1 <br />vacijorA voLuyne v -w)e Lo <br />11-4 C' ) <br />cq m V - <br />G <br />—lt <br />Lj <br />C4 <br />Berie- O: &r " (--Ie- hn,D Vim` 8 S SCO C'4- <br />Ao-ok 46k <br />ne - f,-ew --rjyA <br />is 4 f� <br />�re,d (c�(i v1 Q •: �:edvoo--11,�cxJl eco <br />CkA <br />-ar- 1JOC A. o if, <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 />ived By: <br />Title: <br />VVkfc\VkC <br />EHD 23-02-003 Rev 04/02/14 <br />_, <br />CONTINUATION FORM <br />