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CONTINUATION- OFFICIAL INSPECTION REPORT PAGE: 5:5—OFA_ <br /> DATE: I I/I oq ri <br /> SITE NAME: ',�/ PROGRAM: <br /> VVI I d" V V I Ye- v-o C S SITE COMPUTER# <br /> SITE ADDRESS: <br /> 1412 E I PV Sjp <br /> Nn&e-0 COMP(✓ OC ci <br /> -- <br /> 1 . 25 2 L4q-. 0 SC V:a I l&o +D svbvo. 1 -0- Lepv r4- I tW <br /> �lP�v -rW o s wb wl L,4- r r+- -t-a S CGLs r Lt V-Cd I ccl2 -la e- a Vv6Ls Ie I cL Via 2a.CAD <br /> 'vel <br /> �?X�D Lt.S �u,l F�t-I-G - A'V1G�1, S l S r C�LG�✓•GZC�CX l�'}'I G DX i C.� c�, <br /> ✓� '(,�Wl �Q�t l� (�)iG �L tI., �. ,L G1,Q � <br /> F.I ft r ca k-e vv� F I Pr <br /> V2. l¢CPV 5. ccrz W�R i V1 tA i VICA -rD M i 2e <br /> I Oi l Wi I I S H' eke r <tk Gtr covn oc:�zor a rid <br /> r <br /> i r or -i's <br /> t <br /> WvVL S Y� dal LSi r I� Nla �� i� <br /> 40 -I' r ra vt v d <br /> (�5.3 CGR TJ p .�vyl '(o S J-0 em lovnVVL <br /> co,\L-Aor o0arm s dim "Y- r n was1r <br /> n4�! /tinryov <br /> tGj. Z-52—Di a HSC G-breA Ka v-s VVa§—e c. <br /> qo Aug gr VI <br /> 1 T-I1 ' YA I irY- v-6SGKD120-6r- <br /> 2 . 1 6 oil14 I, 0� S�4C o � <br /> r,�I v,mst be� 4y1 s o(i d 04 sc�c q- - L. a.5i-evev, ao s . <br /> INSPECTOR RECEIVED BY: <br /> Pub.Health-Enviro.Health 169(2/96) ORIGINAL HUT-4 5/88 <br />