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0 <br />L� <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www,sigov,org/ehd/unitiii.html <br />CONTINUATION FORM <br />Page: 5 of 5 <br />OFFICIAL INSPECTION REPORT <br />Date: ii 'f t <br />Facility Address: 7910 Longe St, Stockton CA <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR -Notice to Comply) <br />Complete and submit a copy of the "return to compliance certification" with a statement addressing how <br />each of the above listed violations have been corrected to this office within 30 days. Include all <br />necessary and requested supporting documentation. <br />/tet <br />Ve ed 4, 1 i <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($422). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector, <br />By: <br />Title: <br />Received <br />i- <br />EHD 23-02- 3 Rev 10110 CONTINUATION FORM <br />