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• <br />ov <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 <br />CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECT ON REPORT <br />_J <br />Page: of ,. <br />Date: ;51� <br />Facility Address: Z30 <br />?e/Z <br />Progra4n: ZZ? <br />(CII ASS I, <br />S <br />' r <br />�'' f,�cal <br />S <br />d� <br />o rr <br />r'4 e <br />C t)o rd 14 a <br />�. <br />_ ► <br />r q <br />121r <br />[ l' ici 6)n <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS SUBJECT TO REINSPECTION ArANY,,TI <br />EHD'S CURRENT HOURLY RATE. <br />EHD Inspe <br />LQ2� / -A <br />7�� <br />i <br />Received :I <br />l <br />Title: <br />ov <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 <br />CONTINUATION FORM <br />