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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT A <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 +� <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http•//www.slcehd.com/index.html <br />CONTINUATION FORM <br />RT <br />Page: —yof. <br />_ OFFICIALINSPECTION REP _ <br />ail �wq �� <br />FacilityAddress: i� -15 <br />Date: �� /_Ila <br />Program: �"� t <br />9 �r�_3 <br />5 iS r� ' <br />I <br />.!' _l r <br />F1r d r <br />tom+- <br />- V a A 0 <br />Ilk - <br />As <br />`S ;n ��\ � AMIA �vv <br />� ten. "C72 � — <br />i <br />t3yl ' <br />c <br />t r . - <br />`r <br />-^ IC) V <br />ALL EH STAFF TIME ASSOCIATED WITH FAILING TO CO LY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />-- — —� <br />TH FACILITY llSUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Ins dor Re ei d By: _ Title: <br />--J <br />EHD 23-02-003 Rev 04/ 14 CONTINUATION F09b1 <br />