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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: htto://www.sicehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: 0 clIV) <br />Program: A-sob Facility Address: P1-1 vi., 5\i„,(T, tk (fAi/ze 11,0 e,z i -k- 0,,,<}i <br />c kAA)Vrc; 0 F 0 cik. t-- <br />vA>kArkA1 ot-ab .-s WA-CiAn TV tsMi. 6111, . svum- <br />evur awl o f- p OP -,Iiii <br />ALL END 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: <br />fifille 11) (0/0 0 PHI V(44/) <br />Received By: Title: <br />EHD 23-02-003 Rev 04/02/14 <br /> CONTINUATION FORM