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1.0 ifv <br /> SAN J0 A Q U I N Environmental Health Department <br /> `? —COUNTY--- CONTINUATION FORM <br /> Greotness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: r�(,� ( 'In Page: of I <br /> IN Date:,,2�) 2J7 <br /> Program: <br /> " d Q040 OYI <br /> mr -(I r `hya �eA 10 palv_w- <br /> Srno1�e de k)of k),140- ih -rir2V- <br /> - ,V V- eAnVIPOW InQ Vi Ole O bj <br /> 2121 MtCAn <br /> Vi WALAMV NOV A25' <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 /> f4D Inspector: Received By: Title: <br /> Gids ra ( �dk),)ry1 V�h - t) C_ z s `- <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcelid.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />