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&LOIAKkCONTINUATION <br />I <br />FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: S -S- ld <br />Facility Address <br />S P- CAeAnaA CA '�S <br />Program: MW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />N <br />C81v�U <br />• rN . <br />+� <br />rr� � <br />I�xeZ <br />Y bAlwlo <br />ACV%' <br />rfi <br />� <br />i I �►� bl <br />lull <br />of R7aiN <br />ALL EHD STAFF TIME ASSOCIATED WIT A FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJECT <br />TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By ` �. <br />I/ <br />Title: <br />%V • ,s /i 7jL <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 />