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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: _L of <br />Date:O,,� zz�o <br />Facility Address: ,�,� �- <br />Program: zzzo <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />g,4 11l�I <br />�CC. / .7Ck1 <br />a -s <br />hr's, I <br />A Its S• n�Au•i�� <br />�Or <br />OVP.w Ir o <br />�P <br />/- 4G11i i k(i4v� � <br />oft � e., <br />r%t7YGc hr a {o✓ <br />v 2. <br />r <br />G I ` G Inon e� G✓ d <br />tr Q <br />O a�9v- <br />Iten— r. <br />a Cam �fc�Ca- �a u <br />rl <br />W <br />G" <br />� Z <br />t <br />2 ry Jj q acl,,c,was tG <br />u S i Gjgss <br />v. <br />w51 N -0%S <br />t 11 <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($ <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspect <br />Re eived By: <br />Title:y <br />/ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH UtrAR I mtN I <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 />REV 09/12//08 <br />CONTINUATION FORM <br />