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.;ONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: <br />Program: <br />- <br />s <br />I <br />i r1 <br />(I <br />l Ivy? re <br />A ,;< •`rr t ,ji[., <br />t• <br />ify <br />It <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: _ <br />_ <br />Title: <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 600 EAST MAIN STREET, STOCKTON, CA 95202 (209) 468-3420 <br />EHD 23-02-003 REV 05/07 <br />