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C: <br />CONTINUATION FORM <br />OFFICIAL INSPE TION REPORT <br />Page: of .T <br />Date:Apt; 4` & ro <br />Facility Address: 3 (� S (TIA <br />Program: Z z 2 0 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, o R -Notice to Comply -T), <br />r -j <br />1 <br />1Lim Q <br />c o O <br />jav'r <br />hAQi ( t a, <br />-es <br />-� <br />nv <br />v <br />r <br />e�a <br />471P -0-s <br />;-k .. <br />ae'�' CJQ�k <br />-Lilmd"a-kot 1,7e)w -HLC zz�'I'e � A rS LL�� <br />(� <br />r C <br />- <br />n <br />C C -c c► <br />`Y <br />` vr <br />T <br />;C %f S v- o <br />c <br />.ItAol '9 <br />r <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 SUBJECT TO REINSPECTION TIME D'S C <br />RRENT HOURLY RATE. <br />EHD Inspector: <br />Received B : <br />Title: <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 />