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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: 3_Zct_(U <br /> Facility Address: IZY6Program: <br /> Zao <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> t <br /> r <br /> A.. 1 <br /> Icy o 'oltifl 1 q <br /> a s , <br /> LL ; <br /> 'fes I U5� G <br /> A <br /> C�C4 <br /> / <br /> IG �i r. c < <br /> Oso t ,t <br /> r <br /> r-rv'v�- f Ma�ec.Qdc.'j'� r <br /> � { E7D i I <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($175). <br /> I FA LITY IS SUBJECT TO REINSPECTION AT ANY TIME Aj EHD'S CURRENT HOURLY RATE. <br /> EHD I p r Re cei y: Tifle: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web v .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />