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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.sagov.org/EHD <br /> CONTINUATION FORM Page: 2- of L <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: Program: <br /> It's e 0 i ul i o n.S <br /> Z� IUC3 V v 161ji011 <br /> t Al 0 V o I ( 6) <br /> If - i C�'�'►► .S <br /> Yi Li D <br /> ko ,w <br /> 91�e.Y . W r.e 1014 L <br /> o <br /> do U l al o.f 10'4 <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 REINSPECTIO NY TIME AT END'S CURRENT HOURLY RATE. <br /> EHD Inspector: Receiv -B :, itle: <br /> CONTINUATION FORM <br /> EHD 23-02-003 Rev 06/24/21 <br />