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L <br /> orourN�0 <br /> °"z SAN�J O A QU I N Environmental Health Department <br /> COUNTY CONTINUATION FORM <br /> Greatness grows here. OFFICIAL INSPECTION REPORT <br /> Facility Address: r� ( „�1 ( /^1 Page: of I <br /> W (/U Date: .,�f I—j'1 2(jr <br /> Program: <br /> d Yl <br /> Sry-or-P de trot k),00- ih J V- <br /> - ,0 V11 f TM eryOAW V Iko oh--r <br /> ncun + re <br /> ViU fMNWAWOV <br /> A 25- <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 /> HO Inspector: ceived By: Title: <br /> Re <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br /> EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />