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rj <br />SAN JOAQUIN COUNTY ENVIRONM TAL HEALTH DEPARTMENT <br />800 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />CONTINUATION FORMPage: <br />OFFICIAL INSPECTION REPORT <br />Date: <br />Facility Address- 4 -ex w <br />Program: <br />(CLASS 1, CLASS 11, or • • • <br />MINOR -Notice <br />OWN <br />/ <br />Milr' <br />i <br />r PAR <br />rlr <br />OwdAwflon <br />21" M'11 <br />�j <br />[I�� <br />EHD STAFF TIME ASSOCIATED WITH <br />FAILING TO COMPLY BY THE D DATES WILL BE BILLED. <br />ABOVEALL <br />SAN JOAQUIN COUNTY ENVIRONM TAL HEALTH DEPARTMENT <br />800 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />