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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3433 Web:http://www.sicehd.com/index.html <br /> CONTINUATION FORM Page: of <br /> �` C <br /> 4+ <br /> Y a1FFICIAL INSPECTION REPO T S Date: <br /> Facility Address: l 'T a Program:' Z <br /> oe SVr <br /> .— A, A A0Ci A <br /> 0A ftg-yl 11191 A <br /> IP� r SJ. <br /> r r I - , <br /> wits fPr W <br /> h <br /> t 0- <br /> `10 m <br /> r <br /> f -- <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINS ION AT ANY TJAEHSCURRENT HOURLY RATE. <br /> EHD Inspector: � ceived�y: — Title: <br /> EHD 23-02-003 Rev 04/02/14 �ZB T/ CONTINUATION FORM <br />