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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•.. <br />OFFICIAL INSPECTION• <br />- <br />Facility Address: P101110 -01m I <br />�i /I rte <br />m lan"INNAF 5r i r <br />►t�►7,K �,� A z!,M1.11• <br />rTf.LTr7 <br />.'�5'i ,. <br />U, "MAKE19 <br />IPA <br />LA l.� <br />rdRI i1 <br />LTI Il�lR ""N_. <br />dT&i . <br />1 <br />/. 9.' ✓. / 1 111z= <br />III N. ♦ .1�1d 1 �I <br />)I <br />�l <br />�iG L% <br />�; <br />1 • rM 10311i1w., <br />TA M <br />. STAFF TIME ASSOCIATED WITH FAILING TO. :.VE NOTED DAD AT THE CURRENT HOURLY <br />THIS FACILITY IS SUBJECT T41EINSFECTIIN AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD tor <br />Ji �' / �� <br />By <br />Received i 1,� <br />EHD 23-02-003 Rev 04/02/14 <br />'✓ ✓ "Aamj - " ` c l WWI CONTINUATION FORM <br />