Laserfiche WebLink
CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: �,: ;; r'- i fir- .-- I,`Jr Program: Z-` <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> NO <br /> 4-,) W PS--r i ,t) <br /> r C ro or .A i of -� _ Cdr 4( <br /> U &10(-in k) bjA arj a A j � <br /> � .: f l <br /> ( � - >L I✓I �1 I /tet ?A `L r-C j(C1 r! 4 r, U� was <br /> L - <br /> P', MC'j FGA �r t.-.k. 341- ,e <br /> S t a c <br /> I Aw- <br /> s <br /> i. <br /> () (// SU �) h r1 Q / n �.; �C ...'!!� �Ga tU :ri <br /> A <br /> 6[y) -1 a l^cl� r L U viol At-; . <br /> ro hie, <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING.TO'CpMPLY BY THE ABOVE NOTED DATES WILL BE,BILLEDATT E:CU�tEIIt{HOURLY RATE($105). <br /> 1 <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT-THE EIHID S dURAENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <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 CONTINUATION FORM <br />