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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.sicehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: /6,-7 ,4-w(Program: <br />(0ar4 1 Ptc--ervai, CAM, FOAM PC47 0 / (J17 ) rikl - 7 q 74 terffevifigit)/kir Fvtoive, <br />wAS feAr43. e reW6(17- 7r:214 -",--cski PR/IA-MA? <br />1410 lb AtIseer 7y. <br />fri <br />e # <br />'c%' '12r4f-- k-A5C1 I leil&Vr ()Ai ro -k6-6 rfriC -rar 6 - 7 , -reet-e- , .5/-m-. <br />i t-icycoci., virraz- bd -r2,K..._ H.c.c.*. -or& nykired-crise, oodc) A-01 . <br />ravt, Ckt OierStai 1 eoxiSkit-7`07 ,kleff, ka4,r i ru-tr fo. ral.p . <br />e'll-roci-se.. --t-p-A-( ify Arc-c---0 f o r1A4) -7-fre MS/AAP e 1,t, wily <br />itk4s-t' Cra4reiJ .-P.41.4 "N-1-eiski l';=. VIP . Cervf-rite-MIC 90 AArr 'WE <br />,FAAAJ frksv,.1 --t• 6v6/ IT 17tAre I reibspy ...6cvim --r-pi. pax. <br />z>.. 1 L-c-i-r -.(s•& st-r..... <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 <br /> CONTINUATION FORM