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FMIKI41 IoXhffie UhMorlet.Returnt.q,�f..t.t.f 3/.t.�_ki t�g.....'1- .. <br /> F ...... <br /> Sass Joaquin Countyr REGuVEL) <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 NOV 19 201 <br /> Telephone.,(209)468-3420 Fax:(209)468-3433 Web.vwM.sjggy,grg1ehd <br /> COMPLIANCEENVIRONMENTPI <br /> RETURN TO [ 1 ! WrAITLJ MOA TRA17"'r a <br /> Any MINQR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected Within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address <br /> the top of this form within 30 days of receipt of the inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violations noted in the attached inspection Report(IR)or Continuation Form, or disputes to any <br /> violation*,aro to bo oubmittod uuina thio oortiffootion and rotumvd to CI ID nEg!AAl.{ _da as UI tle7J Vtl fol MOW opmAncu It UFC <br /> insrsection Rennrt_ H.Sr <br />