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CONTINUATION FORM Page: ZL of—It <br /> OFFICIAL INSPECTION REPORT Date:101 Z:14(37 <br /> Facility Address: 5e;�, M cE crW-EC7 M Program: HW <br /> H O n! . <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> po-licz Tb G6w1 <br /> { Cwt <br /> AACd M - d <br /> 4 <br /> 4 IA4 <br /> 1- 's P,�rwrvi <a1se,( JO <br /> 1 01 <br /> ( <br /> N ti Sa..A--.,. 1, 011,10( a Ca""j & <br /> t Z r a dW"`v^ <br /> cc-le '1T a <br /> Crr f 1� 01V afi fun. <br /> all <br /> YLbVW V <br /> d A <br /> G <br /> I � <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 IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: _ ( �^ Received By: Title: <br /> �V SAN JOAQUIN COUNTY ENVIRONMENTAL 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 /> RFV 03112//09 CONTINIIATION FORM <br />