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a <br />a <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: /2-zg_ v9 <br />Facility Address: $ <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Al D 1' <br />r <br />(ons aA2c <br />av, <br />2 I'f'af /�, <br />CGP— <br />r -m <br />ar /Ch7 pinl <br />e <br />be <br />lei <br />e. CNAzj 0�-' u,44L <br />i <br />a. -0- 1, Gr7o <br />"O� <br />GInV're'h- i <br />NI SSI" -__ <br />P- # 0ol 9713125K! <br />ozj AhvIaefo <br />ti,'{esf <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE <br />BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS CILITY IS SU JECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspecto <br />Receive y" _ <br />Title: <br />Vy f ry %t.- - <br />rimu <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 11/25/09 ' CONTINUATION FORM <br />e, <br />