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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.smcehd.com/index.html <br /> CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:r/I <br /> Facility Address: �'�, Lin Program: <br /> 41 Lt 53 <br /> (a-�y5 rlt� <br /> o- <br /> N <br /> lam- <br /> � C C <br /> 1 i <br /> �j <br /> T� <br /> IGS <br /> � i✓ti <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: r�- ,Vlf Title: <br /> EHD 23-02-003 Rev 04 14 < 'L� 2 CONTINUATION FORM <br />