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�Pv tr° B d Art l t' R 4 Date (MM/DDNY) <br />o y "spec-- epo <br />County of San Joaquin County, Environmental Health Department <br />ry ' 1868 E. Hazelton Ave., Stockton CA 95205 Permit Number <br />(209) 468-3420 www.sigov.org/ehd <br />Permit Type <br />Facility Name Address City Zip Code CT <br />Perm it/Registration Holder Name _ Permit Exp. Date Total Time ( inspection Type <br />U A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. <br />Paae �} of <br />Reinspection Date (on or about) <br />