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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 0 <br />REV 06/25/09 <br />CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL • '•' <br />Page: -2,- of <br />D. <br />••• i <br />iJ <br />./ �� i.4� <br />Program:• <br />ui4..4d <br />kiwi <br />/�/111 1110 <br />12 <br />MOM <br />00�i�i <br />Fy= <br />U..011III19AM� �/.fir <br />�►ii i <br />1 <br />IMM <br />% .vIENG <br />ii <br />.�..LL.....� <br />ALL EHD STAFF TIME ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />Hourly rate will be $115 beginning August 1, 2009. <br />FACILITY IS SUBJECT <br />TOREINSPECTI•CURRENT HOURLY <br />Received BY: <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 0 <br />REV 06/25/09 <br />CONTINUATION FORM <br />