Laserfiche WebLink
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 11/25/09 CONTINUATION FORM <br />M <br />CONTINUATION FORM <br />OFFICIAL • ••' <br />Page: of <br />■, <br />Address:Facility <br />/ <br />� r7 ..+ L/ <br />� � �! it � . I� / ' , uiL� � ■r _ :. <br />I\ I I <br />suNftfAky dT vidCA:T_iONS <br />MINOR-Notice(CLASS 1, CLASS 11, or Comply) <br />I <br />IwAR <br />,ll i ,� <br />/ 1 I� ' /: 'm <br />/ Ir I <br />-9 In <br />FA <br />I i ' ill <br />/i <br />I �. aLL� /I /. . r, +�/. /il, :, __ /Ill <br />• <br />--Me EVA.500121,M; <br />91 <br />00 My <br />�AWOT�FF7AATAXP Z� <br />IV <br />Y _ _ <br />rd vj <br />I I1=1101411 .■ lu_ 11 V / JV �! <br />1 1 • �.. �'; �. <br />f• I / �� �� <br />• <br />..II <br />MAA �1.10 ./ '911 I I .IJ1.��111 <br />W41,21KNAW <br />�illi�dplilA 0i -A <br />ffi _A64 1151 <br />.\0 adarm <br />Rn4ar .f <br />I u_ w <br />EHD STAFF TIME ASSOCIATED WITH <br />FAILING TO COMPLY BY THE DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />ABOVEALL <br />FACILITY IS SUBJECT <br />TO <br />REINSPECTIONTHIS <br />..., <br />- <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 11/25/09 CONTINUATION FORM <br />M <br />