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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax. (209)468-3433 Web: http://www.sicehd.com/index.html <br /> ,CONTINUATION FORM Page: 2, of.9 <br /> OFFICIAL INSPECTION REPORT Date:0( a <br /> Facility Address: 1L Sh( k , Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,orMINOR-Notice to Comply) �/ <br /> nµ 6M� T$ Q� <br /> 6 tJ l7 I jR 1T �rX (�t -3 <br /> / j� G <br /> I Sw Mn ¢T1 <br /> a.,-J L v " <br /> Q1 Ij'%j Jt+ - <br /> 4S-e. k o- <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector. Receiv y: Ti <br /> !]!�L <br /> n <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />