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f <br /> 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:http•//wwvy slcehd com/index html <br /> CONTINUATION FORM Page: of <br /> OFFICIAL!>ICTIQN . 'SQA?�a .- ... _. - Date 13�( <br /> Pro rl <br /> Facility Address; d -� _ ..._�n... .,_ <br /> LC <br /> ....... *V9 <br /> PA A <br /> _.� _.._.______ <br /> __---__----______ <br /> G h L�1tt •_._, �__T j' - - __�.- <br /> /ftp� �_..�i.f»r L✓,!� i n/Ye�l G,!'i!'1 /,��1 � / �'./v.-� ...._... •.- <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 END'S CURRENT HOURLY RATE <br /> ----------- <br /> EHD Inspector: ived By: Title: <br /> EI-1023-02-003 Rev04/09J14 CONTINUATION FORM <br />