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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax.,(209)468-3433 Web:www.sigov.org/ehd <br /> CONTINUATION FORM Page: ;of <br /> OFFICIAL INSPECTION REPO T Date: 2- 1Facility Address: Li en C 2 Program <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> P�,t�n �eSS � �Ce�mP-l- �m► 4�-��?� �1 a�^� �u � ►�.S <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES LL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTI NY TINJW EHD'S CURRENT HOURLY RATE. <br /> EH Inspector: Re ry Title: <br /> � � U <br /> EHD 2302-003 Rev 04/19/12 CONTINUATION FORM <br />