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11 '1110 <br /> CONTINUATION FORM Page: of_ <br /> OFFICIA INSPECTION REPORT Date3•?-ay/c ./7• j <br /> Facility Address: (1d(,L Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> hw Q m/Yci I <br /> i i.ol (1(L/ •� <br /> i C - obi S <br /> f 6 .47- <br /> f/t avksl G� D S Yew hGW'L 5-e- <br /> l✓- /GYlIa►/ G4 Q Ct w c <br /> ti L ri1� !1 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE if105j. <br /> Tlt FACILITY IS SUBJECT TO REIN ECTION A NY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHDe ee By t Title: <br /> V I v-- etjV. <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 www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12//08 CONTINUATION FORM <br />