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SAN JOAUI <br /> oQN <br /> Environmental Health Department <br /> COUNTY CONTINUATION FORM <br /> Greatness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: Page: of <br /> Date: <br /> Program: <br /> V ,. <br /> C <br /> C <br /> DUT S� <br /> - - �- t� 0 <br /> rk <br /> I :S 1A cAe--.7p A:r -!5zy� -- :L <br /> c ! S <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: Received By: Title: <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />