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Aft <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 304 E WEBER AVE, STOCKTON, CA 95202 (209) 468-3420 <br />HHD 23-03 <br />IFCONTINUATION FORM <br />FICIAL INSPECTION REPORT <br />Page: _1_of J_ <br />Date: 0,-3 0-0Sv <br />Facility Address: '311°L`n S <br />C,>i1-i�iSM4r► <br />Program: <br />v -i T(%,T NR- AL -L- SQ tLL�Rj1NC:K-ET5rj <br />SLS (0 11 11. <br />A t"q <br />LA DCS -i�eo <br />TESi <br />usl kit, NQ r"jcat ) <br />-STS 'rriE �� <br />91 <br />(- (-k�u 2 l,A1c-C; <br />i 0 ►'� 5 C -t.. <br />l�ll�/j--r'N S P 1 �.L. <br />�UA pape-c tJ <br />N-kbJ VPA1.V6 , '�+i5 <br />,P�u gt.t.�T— <br />TC <br />uQlnICI 't ItE. 'tPDtf'JT <br />IC -►.3T' w.TI-t <br />-tt�l.e, P0sl-��� <br />�{ u-rvrn►,� — <br />c)tc-S�r_ �ts�-�s�2-5 , <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TINE AT -E <br />EHD Inspector: Receiv <br />L k -L <br />D'S CURRENT HOURLY RATE. <br />Title: <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 304 E WEBER AVE, STOCKTON, CA 95202 (209) 468-3420 <br />HHD 23-03 <br />