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SAN J O A Q U I N Environmental Health Department <br /> COUNTY---- CONTINUATION FORM <br /> Greotness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: 6 q Q � � v � I � �. � Page: of <br /> L— �J Date:0-7116q <br /> Program: <br /> C- Q r e C- Ge <br /> e - J `� - C l <br /> % our <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 /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />