Laserfiche WebLink
ONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:/14111 <br /> Facility Address: 2 tZk\ Program:223v <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> •a, _ 20,E <br /> RADARI <br /> h l t <br /> M {N <br /> M <br /> Tr ' <br /> X& 4,000L . WC4ff^jMi W r <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 /> Hourly rate will be$115 beginning August 1,2009. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S 9PRRENT HOURLY RATE. <br /> EHD Inspe Received By: S Title: <br /> of f44 V <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON,CA 95202 <br /> EHD 23-02-003 Phone:(209)468-3420 Fax:(209)464-0138 Web w .sjgov.org/ehd <br /> REV 06/26M CONTINUATION FORM <br />