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rw <br />1// SAN JOAQUIN COUNTY ENVIRONMEN 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 <br />CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date:t4)�//d <br />Facility Address:?s 7 <br />i� <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />a1,i (; —1cQ 011CGI57 <br />la <br />_ 11 <br />Gr.L <br />Gk, 'y.oa.r q <br />a- �fl 6 s o <br />e, e,4 ei <br />' I <br />ck4 cl <br />!/ <br />(„J---4 <br />61a- <br />/ v <br />-�rb- <br />h4l'A �r wv-j <br />.w. Iq;ter <br />W i <br />A oQ �rD4-- L eu,. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES ILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS SUBJECT <br />TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD In or: <br />Received <br />Title: <br />1// SAN JOAQUIN COUNTY ENVIRONMEN 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 <br />CONTINUATION FORM <br />