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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.sjcehd.com/index.html <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />�!�o <br />,CONTINUATION FORM <br />FFICIAL INSPECTION REPORT <br />Page: � of I <br />Date: �� �ZD <br />Facility Address: <br />%� � � <br />� ac,�` � ,�v.2 S� ck-is, <br />y <br />Program: � � <br />��n�P ��� /�°,n 1 <br />Q I �;�,� M <br />SU AR OF VIOL IONS <br />(CLAS I, CLASS II, or NO � otice to Compl ) <br />'Q �� <br />L <br />� � d7 <br />t <br />Ini � �L <br />� .3 <br />�✓ ���; <br />o � - �. <br />D <br />b <br />6 <br />� <br />� <br />� <br />� ; <br />�� <br />�--- �� <br />� <br />__ <br />.. <br />S � � <br />., _ �,�- <br />.� <br />� <br />S, <br />�� <br />� s Lk 1 <br />� � <br />s.p <br />ALL EHD STAFF TIME ASSOCIAT <br />BY THE ABOVE NOTED DATES WILL BE <br />BILLED AT <br />THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT O REINSPECTION AT ANY TIME AT EHD'S <br />CURRENT HOURLY RATE. <br />EHD Insp c�tor: <br />Received By: <br />Title: <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />�!�o <br />