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CONTINUATION FORM Page: of <br /> � " <br /> OFFICIAL INSPECTION REPORT Date: 6 �2 <br /> Facility Address: x,407)y Gy► LWlw-vp Gil Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Com I <br /> l rxc u/e k WtiQA0 Ax�`�- t'C <br /> �l/►�i1A 11�u�w all V---e S'. <br /> � sl roL-rS <br /> ', v s . 2 /c c",!r kana- el-x w k �— <br /> cov V A.%)r Lec-�fz.l. Akt4-.re btu <br /> �+- 1tg51 3 s be <br /> 3a -t • i z �� i-s <br /> s <br /> tis+ 3 <br /> b S 1 /ak4-C "44 I9?0 <br /> r02--Zle4 <br /> L it 24 Irk (-S-S7 <br /> k wank was l� ei,--t A lah& . <br /> UIQ 6W& l88 W ;, 39 •0-�l <br /> W4 4 <br /> her ze�r�a ,r �✓ <br /> W)Ad :4 011 a <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 /> T IS AFILITf IS SYRJECT TO REINSPECTIO AT ANY Tff AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Ins R ived By: Title: <br /> AN JOAQUIN COUNTY ENI#IRONMCNTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax: (209)464-0138 Web w Sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12//08 CONTINUATION FORM <br />