Laserfiche WebLink
'�^- •KY r°`�' S A N,J O A Q U I N Environmental Health Department <br /> COUNTY CONTINUATION FORM <br /> OFFICIAL INSPECTION REPORT <br /> %a" a�`•`' Greatness rows here. <br /> 9 <br /> Facility Address: Page: of <br /> Date: <br /> k6 7S Z Sey4rmIto Program: <br /> ✓1 C1 V i 064-i cLtS <br /> tv cr5c4wple S L O4 <br /> 61 -7. ct 16 l or P)d <br /> 40! jDtC045 <br /> G l 6 5 r'er,vt.0 YLi dl <br /> CC n5S G C " t-4 <br /> l,,,qd-tr50,pieID 1104038 <br /> 164} vr-"&naH <br /> -G1 10- i 1,1 -- L i vtec4w 6 1%4 0- J-G -L�. Ir „' w L-' 11K <br /> - %..q 4-e, Sctwi 1,e zi 160 <br /> 102$ Vc.,yj Alley, <br /> - 2 vVt tti,e a rw 5 �- wc.�r(� ✓t u i✓'/ ✓ l <br /> r evi dlce f C eCj0LV7 /v'eD l <br /> vvi d r a-r-t G�ti°Ic-c <br /> w .l- 220 G <br /> ( S 86 Voo Alleo fid <br /> 'G c4i G <br /> w 4-e. scudnpLe U 1316079 <br /> 16517, Vct l(ems CA <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 /> 1868 E.Hazelton Avenue I Stockton, Califoriva 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 />