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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: Z of <br />Date: (p�ZZ`�� <br />Facility Address: -76 � 1vGl '� <br />Progra :2 <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR-Notice to Comply) <br />ckrrr, A— G,!-' <br />AD&v�P�� �s r�c����� <br />-k <br />IC O�J1�v ��.LvMii L.)p lJ <br />6tv- <br />- & <br />ci, <br />t a'1h M B/` hr <br />/'r <br />re <br />I l <br />VP M e') <br />110� <br />FC rr -71 <br />N r W 'i <br />v--,) f,, AA f- <br />,- <br />f"L UMav % D� <br />1Orr <br />bra-1�� <br />GpM <br />14 <br />I,.. ez-,� b <br />Arm -nle'l—i <br />'� 771b-2'� <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($1 O5). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY T ME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: a <br />vf <br />Received By: <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 09/12//08 CONTINUATION FORM <br />