Laserfiche WebLink
CONTINUATION FORM Page: 2 of <br /> JFFICIAL INSPECTION REPORT Date: Iol14 0� <br /> Facility Addres CAAVQ "fe 61 Program: <br /> Vvt nrvin v YWI <br /> 0 G'i S vlttfSSOvj <br /> S 09[t il jibi (' <br /> r id (IV) - <br /> V v W roLAU t4 <br /> o ca A U o « c c diam S e ✓ wif <br /> VVI'5; d ek 1.16 fe( 0- . 1 <br /> r: ✓ <br /> 410 to o 641 . <br /> 5 <br /> + e; � �f i a ✓ iu a to• <br /> t ua fAJw'' he Y v t h I( ( Q <br /> t �v 6 ✓ �.. <br /> I`Aa t w a VK^ n% t <br /> v 'V t ci `v <br /> 4 U SGvv iS 0110 lit 0 <br /> THIS FACILITY IS SUBJECT TO REINS <br /> 'PE&ION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> E D In ector: Received By: Title: <br /> I f S 3 ir 9,VL-R 64" h/L� <br /> SAN JOA LIN C ENVI N ENTA ALTH DEPARTMENT-600 E MAIN STREET, STOCKTON, CA 95202 (209)468-3420 <br /> EHD 23-03-003 <br />