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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.sicehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: 3/301V-1 <br />Program: Facility Address: (4t,i Ni c,...., 7S--„,,A,.A,,,-. 51- <br />S(3- 2..t Sc„k t.o.r ...-4) cielokt-- .- LO -et, <br />ML A'l Lb tou.1) Ci,ve,AgeNjer <br />10 - A —I <br />3131111 <br />IA Coi I kr,,vs., 0 CoCP-C YO -F-*. iot.--e% 0.—z4 j i <br />60.tk.s_ ir-fr v'1)5- k462,1 a-,-.A.- 2_ 2_ - c- - 2_ 0-44 Z 141 •-ii LAD ce.."----A- 1 , <br />ivve-4,-A <br />9:- Lc! <br />(..A.P.-4- S ‘ 1-e- e : 1-0'31 <br />..1,-k--,..-,A •i-9 c A-c. 0 :_.1.,,) <br />-. <br />vtV%- 3-) k v.. SA.A.4 vu‘.A.AEL <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 />EHD 23-02-003 Rev 04/02/14 <br /> CONTINUATION FORM