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ATINUATION FORM Page: 'Z of 2- <br /> OFFICIAL INSPECTION REPORT Date: i o I t /o C <br /> Facility Address: 13, s 0 r L,s o j\1 LA" Program: usl- <br /> WST <br /> NV&P e-7?a-NJ C <br /> q-S PC-0--b12M o A) <br /> jo (Y/\j <br /> 1\)VIE <br /> 3 b <br /> t tN 'i1t� Dv�t4�s e e R C 6 r A `oT or <br /> QZ e-►rS EqAA I r M ekv' AULT WFieE Fb UN 7 tF AtAW S Wt-w-c <br /> .a s I W&177a --D A✓iUD /tiRce) <br /> r <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: AA�� ' ��� Recei By: Title: <br /> IV` <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT• 04 E WEBER AVE, STOCKTON, CA 9520 (209)468-3420 <br /> EHD 23-02-003 <br />