Laserfiche WebLink
CONTINUATION FORM Page: _of <br /> OFFICIAL INSPECTION REPORT Date:0'1— a,—ll <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS' <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> S <br /> loa 3 z <br /> I . <br /> NUk : ;jacodim bnyj [,4 CjAequltS — <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE OVE NOTED DATES LL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINS 10 EHD'S CURRENT HOURLY RATE. <br /> EHD I e or. l e B . Ti i/i T <br /> SAN JOAQU COLIN ENVIRONMENTAL HEALTH DEPARTMENT N� / <br /> 60 EA AIN STREET, STOCKTON, CA 95202 <br /> Phone:(20 468-3420 Fax: (209)464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 ' CONTINUATION FORM <br />