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SAN 10AQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address:1 <br />O t, s j, to l�'��t <br />Page: of <br />Date: e zZ1/.4- <br />i v 44-4 dv ,a �L <br />Program: zq) <br />I��' I(� I � � <br />mot ,�► �t1 <br />2 f"AA lnt, <br />.P [,, , ,,ber <br />w-,zk <br />014,0,6/e 16 <br />YV041 v- hve d�,, of old <br />S -V rG <br />cco '-,/ <br />o `&a v4s' ( tea/ &,e o u <br />10,c k was ,,s 1tC .0 <br />V C'!►ad /! h12� <br />L - o-wz- LSCS <br />o,.A.11• 4it��w L/`amf�lc <br />/ <br />GIe 4 �ki.c� ice- UC- 1�ic�h <br />�� <br />4VAet•C <br />P Y7Z. 'l f%d�'4 7�tJ�bP <br />2 C) S <br />�3�� b Vj <br />co-pv o <br />Pa, <br />n4k LL <br />�nH <br />tz :9 4keh At <br />, - <br />ALL EHD STAFF TIME ASSOCIATED <br />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 END'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Title: <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209468-34201 F 209464-0138 <br />www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />