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j'I J CONTINUATION FORM Page: _ of <br /> OFFICIAL INSPECTION REPORT Date: $-I -.fit <br /> Facility Add* S: I Ito, f - Lake;u) Qin- Program: <br /> J <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> dN I . r o I ¢xe ladele <br /> IINl: <br /> C CJI" • ) <br /> LYYE � CIU S.e-- iN- wv c It 1 al „ rf r <br /> hr Il � ,. c <br /> j v eNa ce��� 1 v -.dr'N mi ', e a�, '7kt} T< <br /> k{ . <br /> r <br /> 62AAc/, OV Cerr c R�QIc + H AN <br /> Yt' t <br /> tr, i�-j aj Sk (",.. . w de0i t1p. <br /> 4 {1�2 i, ih If �rvz4-) 'IN 10 w Arn c 'Tsf . <br /> �1rS o <br /> U CLIA �• � �tk�• /7 q <br /> C- ftjIAI Y/J dN (,I rom lcrt <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD lnspeclor. Re y: Title: <br /> a <br /> SAN JOAQUIN COUNTY EIM NMEN L HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)4640138 Web w .sjgov.org/ehd <br /> EHD 23-02-003 <br /> - --' nnunuuennu[noes <br />