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li <br />lz�­-- U \_j <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />123-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />u`J <br />CONTINUATION • <br />OFFICIAL INSPECTION-•- <br />.- / -of All <br />Date: <br />Facility Address:iProg <br />OF • • <br />MINOR-Notice(CLASS 1, CLASS 11, or <br />l,W/ :+ I i A►_.M1_'M <br />.tl ./11�1<.. / �.i / '� <br />Ili [� i (► <br />iI <br />BOX 66M, 'AITFEIIIIiII <br />WA In a <br />IMAM �!_ <br />9. r .li ' /. ' .1li. n . I ... r� .R: <br />A 'A . 1' <br />Won Ma'1011111,1110, <br />M, 19, <br />1 <br />- <br />1,►:��.:L <br />r <br />.�� <br />=A";, <br />�l /. <br />1 ,II ' L ! <br />[/ �9 <br />J I ME M I • . I 1 <br />■ /i .f /Il <br />../` ►•rlKOAI <br />ats <br />I)M-111.111,,',V <br />r iil 'LI!. L /.'M,AMQr <br />r <br />ABOVEALL EHDSTAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($1 <br />THIS FACILITY IS SUBJECT TO . . • <br />lz�­-- U \_j <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />123-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />u`J <br />