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ATINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: 2 of Z <br />Date: /!2-1`6 7 <br />Facility Address: 1,3oig N mq//v ET �yl,wv7,�:t� <br />Program: us? <br />UST 11Vs)9C1'-(1P0N goer <br />Z -CtvNP))Vw N 1-WC-AIi 7ir--S/7N t-41 <br />PC-g ele-w J e ti <br />19 ,-S U l l'} " O 2 <br />cA+1aNS nl <br />3 sEionJ n�i '1N �'1'I n�G m <br />T CE <br />NiW A e rS-Ns D <br />S6 t" <br />XeW- IVI 4 S /J011� iv k?&�Ajl <br />RrINU6n 0 9m d <br />17b oe <br />-a lS -TW- q( Vlu. QGlut r..T Gc-v 7W t~ 7rsT- . <br />luXlu TD <br />4WQ S C60f Sa4761u 2-52-61 CA) (7) Au S <br />n1 <br />Tax erS" l)u _ 77 <br />T . l m <br />V6g,F7 r 7H r <br />Q q1 o/lam p <br />o r <br />N GA/ 141w ge i�uU ( b en r-%-I <br />IJ 07T <br />- RN O 0/V L(/S Du-C <br />b <br />4 gC-tuitN 15P "Wpa7e Al OUSr <br />CE C& <br />14144) Sty M TD o GLC ow 2#Ll <br />Zo 6 . <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT <br />HOURLY RATE. <br />EHD Inspector: <br />M 'AIM h� <br />Received <br />Title: <br />cilel/c <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 304 E WEBER AVE, STOCKTON, CA 95202 (209) 468-3420 <br />EHD 23-03 <br />