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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.swcehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION XPORT <br />Page: / of <br />Date: 7/3/17 <br />Facility Address: 3 S <br />L R <br />Program: <br />s' Gl P <br />dt la u' <br />{� <br />�is a <br />O!i <br />-C{ <br />n <br />orQ <br />C71 -a- a J -4--e- 6 P <br />4 7 GlX L " o x .{ G' <br />' <br />1 <br />lGr2.t�J All ae .19 _I <br />hl cvl/ r6r-v-d <br />l o a dVQ 0A06, <br />�o, <br />o3 gl l Z - /�l a A L C C).) <br />10 c 41 <br />\C5/7 <br />tLrkl <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 END'S CURRENT HOURLY RATE. <br />EHD Inspectoor:{� c� / `J <br />f J (;bt4 <br />Received By: <br />Title::: <br />1 <br />�i� s4e �Z <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />