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FORM <br />OFFICIAL INSPECTION REPORT <br />Fac"ifity Address: <br />—I <br />Page: f _jt:� <br />Date: 4�zo <br />-Program: Y1.0 <br />SUMMARYCONTINUATION <br />OF • • <br />MINOR-Notice(CLASS 1, CLASS 11, or <br />w'lAV <br />� p"/ s, / / ' L� _'_ %� //! // //� Vii/ i, t !/ / �� _�✓/t /.� <br />/ %� L• moi/'/ �� /il <br />/// <br />' /-X 2, �! Imoi <br />m; ropm1% <br />u in <br />I <br />ABOVEALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE . DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY _I&SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT•• LY RATE.■ <br />v V / 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 11/25/09 <br />CONTINUATION FORM <br />