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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: M-1(-(E <br /> Fa i -ty Address: L I , 2�d Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> TFew <br /> 4lu AfA <br /> Q t he � <br /> �- Q ) I jk <br /> n <br /> tq 4th jW WI+se. 46�AL <br /> Vi u-ll-m <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> EHD Inspec Recei By: Title: <br /> EHD 23-02-003 Rev 05/28/10 CONTINUAT FORM <br />