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r <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 600 EAST MAIN STREET, STOCKTON, CA 95202 (209) 468-3420 <br />EHD 23-02-003 REV 05/07 <br />ONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: -- OTI:.._ <br />Date:61 B`Gi <br />Facility Address: <br />10 3 v <br />S, 6j L�2 �f , <br />�' L 16 <br />Program: Z3(- <br />T <br />t <br />a <br />opj <br />,\ <br />1 +tc. <br />Vi r <br />e <br />c" ` �- <br />p, -c-( <br />n44 lfat <br />eA <br />�V <br />G( <br />o'/)1--1 <br />�'�'" rr.lbv <br />v✓ <br />APL <br />.LaAA a, L*J6 <br />I Lor <br />2vv <br />to,-. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />CJI Q1 <br />Received By: <br />Q �A a �� e— <br />Title: <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT- 600 EAST MAIN STREET, STOCKTON, CA 95202 (209) 468-3420 <br />EHD 23-02-003 REV 05/07 <br />