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CONTINUATION FORM Page: -2-- of <br /> OFFICIAL INSPECTION REPORT Date: I10 <br /> Facility Address: IUD "Vt Program: d5 <br /> v <br /> Ins 0L tS V ✓ cel i; d cl <br /> r�' A ki 1!'11&e "m (4 ira-1. U& w&o(A An AAAMVj-1 <br /> I mss. <br /> v c t cu wt a W <br /> S 01=- -')M G A <br /> n VKe rtAOS a Lw a <br /> v1 k1s, u I&tv?. G <br /> t QM i <br /> ��a c ✓ Vh <br /> Co �S 0 cl (—A o <br /> NovI � vtl WWr% S i V e i <br /> V l W1 C U1 V r <br /> 6 5 VI/G�S �� wJQ Ir - , U, <br /> MI 011 VA <br /> Nis 1-i a r <br /> i5 <br /> f'f r t a N vl WA M04cl i A r vowid <br /> I owe all Y <br /> kof U l 1 `AW u Wvti t <br /> WuS uhwA iv, ✓ " <br /> Ilo v t w u l�w�� �J i a ✓ <br /> VV1 QWtV VinkQ(,b"t4AAtAhu` f <br /> c t eVv' �tjm&wvf <br /> 61SOvAiljyll- <br /> 1:;��Vwk <br /> t Infw v- v Iwai <br /> Well <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Receive By: Title: <br /> SAN JOAQUIN C Y ENVIRO NT H LTH DEPAR EN <br /> 600 E MAIN STREET, STOCKTON, CA 95202 (209)468-3420 <br /> EHD 23-03-003 <br />