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I <br /> SKJOAQUIN Environmental Health Department <br /> �! COUNTY CONTINUATION FORM <br /> i1i►�`r/ <br /> .�-'` G—eetness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: rokae- e6flon(i )d{ Page: 1 of I <br /> SS <br /> Date: 161/6/19 <br /> `1`�V Program: aoo <br /> 0- box, &4-,?Cts 1 Rlu�Y1 r)va rs { LP/n/cl. C I'rc . <br /> Zq�jP� ->fi'l T�r uJ no �� �.s/l K� � U� SG c�a•o� �a�'+!�r'r�ry y � o <br /> D - a / fes <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 REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.coln <br /> EHD 23-02.003 Rev 10/26/17 CONTINUATION FORM <br />