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a <br />a <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of ��- <br />Date:I Z f z v/ <br />Facility Address: /v <br />Program Zzz_ <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />r i'� r <br />nn 1J2 <br />F r AS 1' <br />i <br />r t el' Ly40reG Ir � <br />4 $ <br />JJ <br />o) <br />ca y Qr� 5 a 5 pt—"; ^ i <br />I' --per 411 eztd <br />1,%A M --C I e,44 / <br />T v� <br />1.4--. YtIL 7L�—Ct_ �lca..� <br />i 30 <br />'G ra.I G ±l� u rjc l <br />pct. 6�erk 1fl/r ,4 <br />rzl cy P'G�Ci.. r� G,X' Oen•'fC '� <br />�1G�t.�.�i'i „4Ci •(^$ ✓/ F.+( �->,, 1 n i /'T6-C'd-�G�`.., I.JG. T r `'J V'J'� <br />f�ln <br />/ <br />y <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS_$UBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RAT€. <br />EHO Insp __ ' <br />Receiv <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH D PARTMENT <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 <br />CONTINUATION FORM <br />