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CONTINUATION FORM Page: _ of <br /> OFFICIAL INSPECTION REPORT Date: IO -1 I <br /> Facility Address: 2 1 Sc( S. g L t� IOp IW. Program:2 gp <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> C 0 f Q., /1 4041 <br /> IVU <br /> e r.'I-�►u2, i <br /> h I,L K QI`e.i <br /> Mme►j <br /> {- <br /> v <br /> a <br /> on <br /> L1 <br /> • _ '41vALe Ic fw SRe. US 1 /ip a G 6d o-e— fjK!/1 <br /> 1 -lv <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 AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD I peGor: ,� 1 Received By: Title: <br /> 1►V 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 />