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CONTINUATION FORM Page: _ of <br /> OFFICIAL INSPECTION REPORT Date: 1-2A-lo <br /> Facility Address: oz (wl (ad' cA .5 4 Program: kvj <br /> SUMMARY OF VIOLATIOoNS ' 11 iI?i <br /> CLASS I,CLASS II,or MINOR-Notice tCom I <br /> oN twdl.d rav�lue, 1 C�Sa►� e� &*xv F�I< ?Wkc. <br /> #I� 4iMt 4- 1 1 o YALt ` GW i Iq 3 ^-ww <br /> 4vkot4 )e- t o &7A&-d1 1v by <br /> QJtP IvgW *) ilJl We A. Wt pNk, CSR 497L.2. 11 CIO- 414& <br /> Me i o 44- 41A AvOy door III Eve m a ,{ <br /> I Nt I b I -OjN A/J V2 A <br /> 'i '✓1.7•A IJ¢- 1G1 1-ft 61f-M2, eY 4'$G , eA. OV <br /> ddutw.rlblbteN LAli s Adkf FfA :0 S 2-26. 10- <br /> lea Awl die o,*l ave t Vie. <br /> .f'twk fel # 4k k &A vW A owJ 46k 6 clew luSIL <br /> zw1i 4h Ar rel j-A hu2Ar) ,s 1,4 1htmd;24el <br /> w1 ! 1' rvndn+ize A AI&Wi CM S I . Gew <br /> oil } w� of Jt al cuz <br /> e� 9� <br /> pp W-wit! ilj s 1 ' 61f_TiA � 1,9 w«I� b F 9(140- <br /> 0NiverSN( 'IPA InCad WW31 k INA #v ANNW 4W kV w <br /> L KIc+ <br /> vK 4WI w JQ . lwl wwt MA1 'N�• f V Qo <br /> CM <br /> `f1 Q-7 o d Q p �� 1 I '-I <br /> 3JL SNu�1 R+�I�ILJGS (�2 kw 1-tlO&I- TN w• 4w wah W)4, 45 4m 1ow 1.1 <br /> ' Srb Etc � t4 iul "c I w �. vIDI� ' GN <br /> ALLEADSTAFF TIME ASSOCIATED WITH FAILING TO CO LY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($11$). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY Tin AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Re ived By: Title: <br /> l <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 w .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />