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M <br /> CONTINUATION FORM Page: 5 of <br /> OFFICIAL INSPECTION REPORT Date: 1.1 � <br /> Facility Address: Z,5Z 0 . VV A N ( �� 9�j S oG (G Progra 22-U <br /> 2 4,r l� u S Vj aSk-, n &-hk-\ a/ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> r kr 0 4aih� <br /> ( <br /> �w lar U� i <br /> &V u in <br /> wtA n, trF 1pKi 01 w�lA Lente <br /> v <br /> S — r o✓� Cr . ISS bel I✓MvA <br /> o �1 A-t-A- -e NAW <br /> e%-jerA'u v I b t449 0/\se-C.) rrer� 0n ; ? <br /> Lu 4�6 Itskpj o h <br /> OA/ 0 e o�Z <br /> Tai LC Dy 6 Wk kQl<, n 2� J✓ L-q"- a 1 <br /> ry <br /> C�, p k%'j v <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION NY TIM T T E EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: vv'j r Re TitleeWile, L <br /> (SAN JOAQUIN COUNTY NQ' ) <br /> E TA HEALTH DEPARTMENT <br /> 600 EAST MAINSTOCKTON, CA 95202 <br /> Phone:(209)468-3420 464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12//08 CONTINUATION FORM <br />