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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> i 1601 E. Hazelton Avenge <br /> Phone 466-6781 <br /> STOCKTON ' CALIFORNI'A `} I <br /> ` NOTICE TO A B A T E <br /> N { <br /> Owner <br /> -------------------- Date of[nsf tion ----------- <br /> Q f <br /> Address................IV I• <br /> Occupant ---------------------•------ J <br /> Address.-----••-------•----- <br /> Type of Establishment ----_ __-_---1- <br /> Location <br /> ' k- <br /> 1�-------- `rte'`. I <br /> Complaint or Violation__....____• - ------- <br /> -- y l d <br /> dd• <br /> ...... ............ ... <br /> ______________ 1• - <br /> Recommendations = <br /> . - - <br /> 7 <br /> I w <br /> ----- <br /> t <br /> Correction Must as Made Be 1 <br /> ------ <br /> Remarks: ----- � ._ �-• � <br /> - -------------- <br /> ------------------------ --- ----- <br /> Failure on your part to comply with this Notice will subiect you to penalties prescribed by said <br /> Ordinance. <br /> Received Notice: � _•--„ �� <br /> i <br /> By order of <br /> JACK J. LLIAMS, District I-11h Officer <br /> i <br /> By - - --- - ----- --- <br /> San tarian - ---• -- - <br /> EH 00 19 1/76 2M <br />