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Pauuv <br /> 2'° SAN J 0 A Q U I N Environmental Health Department <br /> N -�^ COUNTY CONTINUATION FOR1I <br /> Greatness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: Kl�KSI g" bl �,�;r � Page: _L of 4_ <br /> Date: �J2 <br /> -, l o akfT("rz d I�d'j1V► re ehU ukVProgrL: . <br /> J <br /> l q 4(0S - . - +Cr i n tc i K s Witch <br /> �S �o rL ►�tSs� i�, � <br /> qhs t S G�� MN61V trDm Fohra <br /> I2x(ail ✓- pl'1 I �u <br /> ' <br /> 6d6-e,-_d h S FD <br /> OV-) CM ytokt- <br /> Cq14 <br /> N00 U40 U v va <br /> 0'5nvi r <br /> res - Ind <br /> U6am U vm <br /> 6MAJA& OVv� <br /> " 1earild aue� <br /> r'pVo of E-RJ+_s e ?meq (aNO- lob <br /> O S Cimwt GLVo bv. D a f4'k\ 1 e restd-1T <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 /> Received By: � Title: <br /> r Q_' y- <br /> 1868 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 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 />