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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: www.sigov.org/ehd <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: Z of 2 <br />Date: b—ZILP—� <br />Facility Address:Program: <br />[cj Z <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Ki n �- a - , Zo I . <br />6u�\ Cal "VtA-\ -6% <br />Z) <br />co, <br />C� 30 <br />5 <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 TIMV AT EHD'S CURRENT HOURLY RATE. <br />EHD I Specttorr: <br />\` <br />yI vl <br />Received By: <br />Title: <br />EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />