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SAN J Environmental Health Department <br /> --COUNTY CONTINUATION FORM <br /> Greotness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: 205, W. LL4icS Wa(Jj ,, -iix1 r) CO2W0(D 3�-Pj Page: '2, of� <br /> Date: M4 1`412 <br /> Program: <br /> CAINCt s e hIe fr rye <br /> wWrfacl�qja sejwda�e' <br /> hhlh -rnt UCOS" f2iOP-MI-fY -0 Mau :Ihe K&W,rl-Ijo <br /> N't 10 fhe bell oI Oaf lid A Ai S1no06 �np' Ile on not 0) r6 aaema ftr' My"t <br /> ovite ve vwk i yi n wyt bak) ror(wrj kim 6tv ices 2G rz ft r El <br /> s% a r� 4I; is Ir4 w ih <br /> oil Tlr►le I f 6-dwole. <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 /> mmea ru ' tbvleaz <br /> 1868 E. Hazelton Avenue I Stockton, California 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 />