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SAN J 0 A Q U I N Environmental Health Department <br /> --–COUNTY— - CONTINUATION FORM <br /> Greotness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: Ig / Page: of <br /> ( f °L 5 l/ C.� � � �C�/�� Date: D; <br /> &8/,y <br /> // <br /> Program: <br /> 4A4 V,2 I Cti <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 /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />