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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: -,73 —.9 <br />Facility Address: / <br />LPr• • <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to • :• <br />�.Pma : <br />-... <br />Aw <br />A' TT4 As <br />y :. a .. ZA i <br />y ` <br />ism <br />ALL EHDSTAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE 105). <br />THIS FACILITY IS OREINSPECTION AT ANY TIME AT THE EHD'S <br />4 <br />EHD Inspector <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 <br />CONTINUATION FORM <br />