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r.W <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />V. <br />REPORTCONTINUATION FORM 11111" <br />OFFICIAL INSPECTION <br />-Page:- "It of <br />Date: <br />Facility Address: <br />S- It' L'program-l� <br />s <br />, <br />Mfii96"6 <br />SUMIkARY OF • • <br />MINOR-Notice(CLASS 1, CLASS 11, or Comply) <br />Uwe Mm_m 10111911 <br />11011,11 N .60111111 <br />FAME516,11m <br />fftlwumb <br />III, <br />VMS, 110� <br />Omer <br />ral 1111 <br />� <br />�_ <br />? 1�'_!. <br />FA a�.. _1 Pr.• •.lig <br />Iff. <br />WE 101 powy-1-11m <br />It <br />meL. '. <br />•� .. Mwf ' • L. <br />— <br />LL Lim I _mLe• ►iP a <br />mmi . �1 _! I El-C.'Ls16" <br />RUN WRITE[ <br />. �i� <br />�, / .. <br />.• • <br />rA <br />P min <br />EL ATAP <br />'CIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE <br />ALL EHD STAFF AME ASS BILI FD T THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS SUBJECT TO REINSPECTION HOURLY <br />-,-fM5jAa ffitann--zlLlo <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />V. <br />