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-CONTINUATION OFFICIAL INSPECTION REPORT w PAGE: OF— <br />D <br />E — I <br />DATE: //� %/�� <br />SITE NAME: i _ I I n a- 0, _ .4- Yet/� , /^' PROGRAM: a 3 � S'G <br />//; , . C� eq r rr nor. Arn iTCo x <br />SITE <br />c ; _reuea lectt h�e - oNou l <br />&,ewfurninq �aSLI /ane Sime a4ehou.4t-., <br />r e04 fa i hrh uJa.s6e Di,� .Si �e GCnKnowkv, <br />1 ,JiU', <br />—,Q or �Dr2 <br />Wet Ilaiin S rcege _ u �S . iSf <br />riuo SiZ`e. Ver; �`� etc f y,c�m berg S <br />o <br />rz41+d CaY7 fen fs <br />�n r q/'o-t�na� Sora ye �"c�in lC <br />r o f ra4i L, j -or vvi --Vo r eo- c <br />r�,�j <br />e� t U r W f a S /t L H/� D h�. //ate// i o ,?? <br />a <br />�h a fec i <br />C19 <br />vZ <br />/'J �' S Code- S� G �- Ao LAe �✓�C�Yv <br />i rn� l infect ��`� lR�ac� vie funKs <br />oreciSioti <br />%Zv P/azz me f�/d;spense r. aid c'co- <br />me-6V�e <br />�D<'s/oeirser, a"oel `YYI�r 6or-t <br />0 A m v u -e- -"c,-I Ks e F'ewu val /a,% -v <br />rc) be s u 6m l'-ttecl 4-a S:3-4.14 D 'b l oIgT• <br />— 5 i t�a ; nyech o cu Q/so peyea /ed n-Su,,;y <br />or,-tkz mast ed e o��ro�er� neccr <br />(eon <br />d1d w G�is pvSPd o� b� l <br />('A as uJaste ° <br />Sr rio I lL. r+ i re <br />U bf K1 r r Ae*u as ri y -i` �r �` Mai- <br />RECEIVED <br />a, <br />INSPEGTOR RECEIVED BY: C�pYtF� <br />h <br />M <br />4 <br />ORIGINAL <br />