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CONTINUATION FORM �./ Page: of <br /> �FFICIAL INSPECTION REPORT Date: toIVT'1.7 <br /> Facility Address: 5 I t PrograM:jA4 <br /> - in ShAll s <br /> f � J <br /> " i s ICG u <br /> c4,21v <br /> i _ ad <br /> 1 <br /> O n 1 i WiAtg WM VI ✓• <br /> 5 1 <br /> !rS to <br /> a we r h <br /> V � ✓ 1 r <br /> u v <br /> e k1614rhm ° f46vvkrfolDtavit <br /> ,. <br /> 0. rrur< <br /> i I o <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT HD'S CURRENT HOURLY RATE. <br /> EHD Ins ctor. Receiv By: `!� Title: <br /> V <br /> SAN JOAQUIN C ENVIRO TAL ALTH DEPAR MENT•600 E MAIN STREET, STOCKTON, CA 95202 (209)468-3420 <br /> EHD 23-03-003 <br />