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SANJOAQUIN <br />COUNTY <br />Grrctness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: is-�t/ <br />�, jdtcu edlom(i n04 <br />U <br />Page: 1 of <br />Date: ,611611Y <br />„S -C-A W, <br />Program: ac,o <br />D— box <br />'1 LPlaI c -L (a'►K <br />Lci 6e C i, ' 1 f c r I,tJa <br />se-o" <br />i -x In <br />ALL EHD STAFF TIME ASSOCIATED <br />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: <br />Received By: <br />Title: <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 <br />www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />