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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 468-3433 Web:httr)://www.sicehd.com/index.htmi <br /> CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date `' <br /> Facility Address: P r o g r <br /> InAct501 AZ <br /> -- Z� <br /> avtb <br /> 2 <br /> G� <br /> '0 <br /> 2 <br /> �bZ <br /> 2 � <br /> LL <br /> ALL EHD STAFF TIME ASSOCIATED 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 Received By: Title: <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FO ' <br />