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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: s <br />Facility Address: it Ij d <br />Prograx) <br />jew-Till <br />T ff M-il �111[r <br />WIN <br />ME, e <br />fiff-21IIIIIIII r-- I L L A F �A <br />ioll <br />IAW <br />lr4 <br />ALL EHDSTAFF TIME ASSOCIATED WITH FAILING TOrCOMPLY eY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). 0 <br />TEINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />THIS FACILITY IS O R <br />-SUBJECT <br />1 EHD Inspect it <br />mzA <br />v SAN JOAQUIN COUNTY E14VIR NMENT L HEALTH DEPARTMENT <br />600 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 09/12//08 <br />CONTINUATION FORM <br />