Laserfiche WebLink
CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: --of <br />Date: <br />Facility Address: W . 1�1 <br />al 31bi <br />Program: <br />SUMMARY OF VIOLATIONS <br />I, CLASS II, or MINOR-Notice to Comply) <br />/(CLASS <br />SoC,! o7 <br />'fit <br />d <br />3 �e2t <br />t <br />No/�✓ <br />eUYC tt_ 6A IN ✓. ar eheL <br />✓IQAI 4AI re f 161 -( <br />YLa�c t �S ,vll t kt4AS4 <br />he <br />St ins k/u,= <br />S <br />4 l6 Gam• 5 `►3� <br />(�s s s Vt r <br />NQS <br />C��c�l�c� a►�.�� www . � . If�►- <br />f� <br />haus ew o <br />'A!LL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BLLED <br />Hourly rate will be $115 beginning August 1, 2009. <br />T T CU RENT HO RLY RATE ($105). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT <br />HOURLY RATE. <br />EH <br />Received By: C <br />Title: <br />`J <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 06/25/09 <br />CONTINUATION FORM <br />