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ti <br /> �,° c°z� SANAOAQUIN Environmental Health Department <br /> COUNTY CONTINUATION FORM <br /> Greatness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: �151 GdW6,ktNZ CouAaArI SM�-�'k Page: of <br /> Date: ►�/��l <br /> 113 — NQ V101 a,'1 OV14 Program: <br /> I Ji o f o" N o V f <br /> a* CYQ r <br /> Zm 6 W iv' Q& U B#q� Wi rdb W ivaeM Oki <br /> - boy c►� jkl000p 9 - Y'IcA fir wr1k)WIr - claw iv, c 'Ii <br /> I � 0 <br /> s►m �� w <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 /> GAS �Gl�GiaVv.M&fGt LZ-�+ s <br /> 1868 E. Hazelton Avenue j 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 />