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a <br />' <br />;ONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of _ <br />Date: S1glot- <br />Facility <br />Address: <br />135 Qpm o -L- Aw, Oimj�A <br />Program: us <br />� <br />�✓ � tea' � ?.0 fL� �z . <br />l <br />(cc w <br />vis i <br />Vj <br />;04 <br /># S4 <br />6 <br />42 CA,(e A4-) a� � � <br />:$r z <br />A <br />e, nili 24c <br />G �r <br />c <br />67 2 DtK alt, 99• 141 c" -ft--` AA, D 0 40-1 <br />n h-1, J 4-6 4� <br />f l <br />a, -,s e d 0 <br />IIAY <br />d, 4b t-f�A <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />-�. - � <br />Title: <br />I <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 600 E MAIN STREET, STOCKTON, CA 95202 (209) 468-3420 <br />EHD 23-03-003 <br />