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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: htti)://www.sicehd.com/index.html <br /> CONTINUATION FORM Page: __ of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: t �4>» I o�,A�- FI-C Cbt' gzb Program: <br /> VIM - v <br /> t:)o q-.V'4'ZN 2 �-qk W <br /> 5 iD'k L�-' <br /> " <br /> vA i-K c <br /> New 7 -- <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 FORM <br />