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JQ� SAN JOAQUIN <br />--_COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />R d <br />Page: _L_ of <br />Date: <br />Program: zoc) <br />e <br />X41 Gfii rc,clk 5 <br />r` c volpi peiz sj`zgvo <br />ee_ <br />I Gtv�aC 1 <br />ci K rk <br />;mss -tom d % �ti<t <br />ti-, ee-1 .o <br />a� <br />s1 wl< 15 &Zd <br />p�el-cd <br />/a �� �e - rws �►� ��� �� s <br />7W PW- <br />Co;e^re be r 1� 1. � <br />t -,a- 1-op�,Ore <br />,)o7 4--.. <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: <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 />