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C' <br /> SANJOAQUIN <br /> Environmental Health Department <br /> COUNTY CONTINUATION FORM <br /> Greatness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: 112.50 M ick4e C,✓'v✓e Q-v Page: I, of I <br /> Date: <br /> 9 ZG Program: <br /> l 5 4yj o v►01 q�er^qs <br /> • It 2 5'A V10 V V k4 r <br /> • 1 1 15 v D v10 V �O l 4 r ms <br /> • I1•L 56 1: vtU v1 o Lct RGtV <br /> pec+;cm8/I /z <br /> • Z5 L. irlo v'ioL rout <br /> -ovl e s;vi ",otgi Flit e cojo4 Vlc wG+ r S Lv,4ctiedi <br /> Co✓'✓ � <br /> • I 5 >-1: 0I 42_04S <br /> 12 50 V10 v io tC4- roys <br /> • I Z 5 0 GVic., V;o LCIL�ro" <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 EHUS CURRENT HOURLY RATE. <br /> EHD Inspecto(r�:,� Received By: <br /> WU47-1 <br /> 1868 E.Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />