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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://wv,/w.s*cehd.com/index.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: Q of <br />Date: ) a j <br />Facility Address: <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />ecLUon <br />A- hQkut= 94 z <br />z 4 k �b�` c�- .q 5=q t qq. a � <br />1000 =SCI <br />-x S0 A�� <br />-- '" r icer hi �- : 3i5 z <br />med u - e` ' > 3.815 <br />-octan e - <br />r <br />x - c tak as z S-0,95= I 0 5 t czu ct r, <br />(LbQ2--q'!)CLtMy)5 <br />= too <br />-a = a . •3 II -- . -7 �. <br />e pd e z 59. �145 �,. � -paxAed, <br />ci tess E5 -6 IIVNIQ <br />t cry c n <br />e \I r ` r'2 A MLAA,i \ Crtb C) <br />l uUf Wj l Mf.'C.1'l U WU0004- <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 Inspecto <br />CL — <br />Received By: <br />Title: <br />– 'Iko <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />