Laserfiche WebLink
CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />71 W" <br />Program: <br />1, CLASS 11, or MINOR -Notice to Comply) <br />___(CLASS <br />WPM 11r) 712 A <br />PIS <br />MOM <br />maw <br />"Mmly MOP <br />& <br />• <br />EWE <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />110 <br />I EHD Insii6ctor'Mw CIA <br />11/3 ' <br />Received By: <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 11/25/09 CONTINUATION FORM <br />