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v/. w� 'SAN JOAQUIN COPNtY ENVIROf�AA5kTAL HEALTH DEPARTMENT <br />600 EAS MAIN STREET,STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 09/12//08 <br />CONTINUATION FORM <br />CONTINUATION FORM <br />OFF CIAL INSPECTION REPORT <br />Page: ' of <br />Date: C' U�_V? <br />Facility Address: <br />Li14 <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />L�2. <br />1' VUC.(C'[if <br />J <br />yL <br />�✓ B/1 <br />IVB <br />'1 <br />a. C <br />JC'.JA- 7 w k A2 W -40t 1'\,' <br />S b 4V <br />l_ <br />e b./lam 1' <br />5 <br />r,�vTlve, r,--,hk-- <br />aw <br />v sP <br />"^ <br />p�1-21 <br />O" <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY SUBJ,EST TO REINSPECTION AT ANYT ME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />*d B <br />Title: <br />v/. w� 'SAN JOAQUIN COPNtY ENVIROf�AA5kTAL HEALTH DEPARTMENT <br />600 EAS MAIN STREET,STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 09/12//08 <br />CONTINUATION FORM <br />