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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.s'cehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: 1-+910 V 10. j �.o q <br />Program: <br />CTS' 10 - -'S I r -0Q v <br />vs' <br />,P -a Q i qL to 341o <br />2I O <br />L' T� 0 - 50' C0 Lannr-o -ji- u 4-o q leu 0vs� <br />h <br />N'.4 Ca.�� <br />-� hk- (9 Ll +o la o w w, <br />► <br />re m;Q <br />C — 5 V T 60'i h0 roul-U rOunk �QJ <br />05I n <br />K I L s l v %e -I o f c. r w; <br />' o *remie yloKb- <br />V <br />u +o qroqnj, 14—vej <br />Wih <br />IN G i lo 40 10 o CL w,\ -J4, <br />q' ci <br />Of +rt4.1j Ii n <br />CTF 06_ I 6r. v+- u u ruuhs- �o-uc\ uSih <br />NQcL� CQ Ch+ ( qq lbs +0 10 o a r) w' �, G4' ot frf-wif- P104teA. <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 <br />HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Title: <br />EHD 23-02-003 Rev 04/0 CONTINUATION FORM <br />